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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHANE LOWELL KOPPENHAVER, MPT, OCS

Active

MR. SHANE LOWELL KOPPENHAVER, MPT, OCS is a Ergonomics (Occupational Therapy) healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1952385163 is currently active in the NPPES registry. Verify at CMS.

Ergonomics (Occupational Therapy) · FORT SAM HOUSTON, TX

Registration Details

NPI Number
1952385163
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2005 (20.67355673524 yrs)
Last Updated
Jul 8, 2007
License
2305006682 (VA)

Practice Information

Address
3851 ROGER BROOKE DR
(BAMC MCHE-QD/ CREDENTIALS)
FORT SAM HOUSTON, TX, 782344501
Browse TX providers · Browse ZIP 78234
Phone
2109161920
Primary Specialty
Ergonomics (Occupational Therapy)
2251X0800X

Other Ergonomics (Occupational Therapy) Providers in FORT SAM HOUSTON, TX

Name Credential NPI
MR. EVAN J PETERSEN PT, OCS, ATC, CSCS 1609867548
PROF. DEYDRE SMYTH TEYHEN PT, PHD, OCS 1528040300
MR. JOHNNY GRAY OWENS MPT 1568449221
MR. JOSE MANUEL FONSECA PT 1356312672
MR. JAIME GONZALEZ PT 1508837824
DR. MICHAEL J. WALKER PT, DSC 1184695173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.