Male or Other

Mr. Michael J. Shoopman CTRS

Recreation Therapist in Dayton, OH(View on Map)

Full Name

Mr. Michael James Shoopman CTRS

NPI Number

1750392759

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/11/2006

Specialties

(Taxonomies)

Code

225800000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

28439

Contact
Information

Purpose

Mailing
Location

Address

5268 SUMMERSET DR
4100 W 3RD ST

City

Tipp City
Dayton

State

OH
OH

Postal Code

45371-8140
45428-9000

Country

US
US

Telephone Number

(937) 268-6511
(937) 268-6511

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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