Provider Demographics
NPI:1013396357
Name:COPPLE, HYPATIA (PT)
Entity Type:Individual
Prefix:
First Name:HYPATIA
Middle Name:
Last Name:COPPLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HYPATIA
Other - Middle Name:
Other - Last Name:KINZLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:6206 CRESTMOOR LN
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-5530
Mailing Address - Country:US
Mailing Address - Phone:469-231-1343
Mailing Address - Fax:
Practice Address - Street 1:6206 CRESTMOOR LN
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-5530
Practice Address - Country:US
Practice Address - Phone:469-231-1343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11624722251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics