Provider Demographics
NPI:1265744809
Name:LOEPKE, VERONICA ROXANNE
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ROXANNE
Last Name:LOEPKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 COOL SPRINGS BLVD
Mailing Address - Street 2:SUIT 140
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7273
Mailing Address - Country:US
Mailing Address - Phone:615-771-0003
Mailing Address - Fax:615-771-0600
Practice Address - Street 1:539 COOL SPRINGS BLVD
Practice Address - Street 2:SUIT 140
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-7273
Practice Address - Country:US
Practice Address - Phone:615-771-0003
Practice Address - Fax:615-771-0600
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7094172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7094OtherAUTO