Provider Demographics
NPI:1811219553
Name:SCHOPPER-HUGHES, RUTH MARIE (LMT)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:MARIE
Last Name:SCHOPPER-HUGHES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 CARLISLE ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-2306
Mailing Address - Country:US
Mailing Address - Phone:727-776-3865
Mailing Address - Fax:
Practice Address - Street 1:1721 CARLISLE ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-2306
Practice Address - Country:US
Practice Address - Phone:727-776-3865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA21357174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA21357OtherSTATE OF FL/ DPT. OF HEALTH/ DIV. OF MED. QUALITY ASSURANCE/MASSAGE THERAPIST