Provider Demographics
NPI:1184089195
Name:HOPP, TIRZAH RENEE (ATC, SCAT)
Entity type:Individual
Prefix:MISS
First Name:TIRZAH
Middle Name:RENEE
Last Name:HOPP
Suffix:
Gender:F
Credentials:ATC, SCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PINEY WOODS LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-2418
Mailing Address - Country:US
Mailing Address - Phone:864-640-1878
Mailing Address - Fax:
Practice Address - Street 1:5058 US-76 W
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-3836
Practice Address - Country:US
Practice Address - Phone:864-640-1878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT64462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer