Provider Demographics
NPI:1144618844
Name:HOPKINS, BROOKE ELISE (ATC)
Entity Type:Individual
Prefix:MISS
First Name:BROOKE
Middle Name:ELISE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-2844
Mailing Address - Country:US
Mailing Address - Phone:864-367-2448
Mailing Address - Fax:
Practice Address - Street 1:2005 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-2844
Practice Address - Country:US
Practice Address - Phone:864-367-2448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-03
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program