Provider Demographics
NPI:1831935998
Name:HOPFENSPERGER, MELISSA KATHRYN (ATC, LAT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:KATHRYN
Last Name:HOPFENSPERGER
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2556 BERRY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-1977
Mailing Address - Country:US
Mailing Address - Phone:678-386-5729
Mailing Address - Fax:
Practice Address - Street 1:2556 BERRY RIDGE LN
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-1977
Practice Address - Country:US
Practice Address - Phone:678-386-5729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0034162081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine