Provider Demographics
NPI:1487265302
Name:HOPKE, KELLI (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:
Last Name:HOPKE
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1888 N SHERMAN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1158
Mailing Address - Country:US
Mailing Address - Phone:720-583-0439
Mailing Address - Fax:720-302-0150
Practice Address - Street 1:1888 N SHERMAN ST STE 202
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-1158
Practice Address - Country:US
Practice Address - Phone:720-583-0439
Practice Address - Fax:720-302-0150
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-LIC-193522251X0800X
CO17708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic