Provider Demographics
NPI:1649496670
Name:HOPPE, SEAN SCOTT (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:SCOTT
Last Name:HOPPE
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 HARD SCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9159
Mailing Address - Country:US
Mailing Address - Phone:803-699-2999
Mailing Address - Fax:803-699-2888
Practice Address - Street 1:4801 HARD SCRABBLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-9159
Practice Address - Country:US
Practice Address - Phone:803-699-2999
Practice Address - Fax:803-699-2888
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3722255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer