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

MARY KOPACKI, MS, LAT, ATC, PTA

Active Sole Proprietor

MARY KOPACKI, MS, LAT, ATC, PTA is a Contractor healthcare provider located in BROWNS SUMMIT, North Carolina. NPI 1962852970 is currently active in the NPPES registry. Verify at CMS.

Contractor · BROWNS SUMMIT, NC

Registration Details

NPI Number
1962852970
Provider Type
Individual
Gender
Female
NPI Issued
Jun 21, 2016 (10.172898312689 yrs)
Last Updated
Jun 21, 2016
Licenses
LAT1595 (NC)
AL1739 (FL)
Sole Proprietor
Yes

Practice Information

Address
7 CRAPE MYRTLE CIR
BROWNS SUMMIT, NC, 272149460
Browse NC providers · Browse ZIP 27214
Phone
5615962870
Primary Specialty
Contractor
171W00000X
Additional Specialty
Contractor
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.