Provider Demographics
NPI:1366219727
Name:HOPKINS, BRIGID RECKMEYER (LMBT CCA)
Entity type:Individual
Prefix:
First Name:BRIGID
Middle Name:RECKMEYER
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LMBT CCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 WHITT RD
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:NC
Mailing Address - Zip Code:28748-7753
Mailing Address - Country:US
Mailing Address - Phone:828-335-6820
Mailing Address - Fax:
Practice Address - Street 1:137 WHITT RD
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:NC
Practice Address - Zip Code:28748-7753
Practice Address - Country:US
Practice Address - Phone:828-335-6820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17107225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist