Provider Demographics
NPI:1962770032
Name:HOPPE, SUSAN BRITTON (EDD, ATC)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:BRITTON
Last Name:HOPPE
Suffix:
Gender:F
Credentials:EDD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1216 ORDEAN CT
Mailing Address - Street 2:170 SPORTS AND HEALTH CENTER
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55812-3032
Mailing Address - Country:US
Mailing Address - Phone:218-726-8015
Mailing Address - Fax:218-726-7787
Practice Address - Street 1:1216 ORDEAN CT
Practice Address - Street 2:170 SPORTS AND HEALTH CENTER
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55812-3032
Practice Address - Country:US
Practice Address - Phone:218-726-8015
Practice Address - Fax:218-726-7787
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17712255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer