Basic Information
Provider Information
NPI: 1710394721
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOPKINS
FirstName: STEVEN
MiddleName: ANDREW
NamePrefix: MR.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
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Mailing Information
Address1: 800 CRESCENT CENTRE DR STE 300
Address2:  
City: FRANKLIN
State: TN
PostalCode: 370677285
CountryCode: US
TelephoneNumber: 6153731350
FaxNumber: 6152219054
Practice Location
Address1: 8110 CAMP CREEK RD
Address2: SUITE 106
City: OLIVE BRANCH
State: MS
PostalCode: 386541614
CountryCode: US
TelephoneNumber: 6628931933
FaxNumber: 6628931934
Other Information
ProviderEnumerationDate: 07/22/2014
LastUpdateDate: 10/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT5271MSY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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