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Mr. Shane Lowell Koppenhaver, MPT,OCS
Orthopedic Physical Therapist in Fort Sam Houston, Texas
NPI 1952385163

Shane Lowell Koppenhaver is a Orthopedic Physical Therapist based in San Antonio, TX and is specialized in Orthopedic. Shane Lowell Koppenhaver practices in Fort Sam Houston, TX and has the professional credentials of MPT,OCS. The NPI Number for Shane Lowell Koppenhaver is 1952385163 and holds a License No. 2305006682 (Texas).

The current practice location address for Shane Lowell Koppenhaver is 3851 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-916-1920.

Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX, 78209-4543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952385163
Provider Name
Shane Lowell Koppenhaver
Credential
MPT,OCS
Provider Entity Type
Individual
Gender
Male
Address
3851 Roger Brooke Dr, Fort Sam Houston, TX, 78209-4543
Phone Number
210-916-1920
Fax Number
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3851 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4501
Phone Number
210-916-1920
Fax Number
person
Provider Business Mailing Address Details
Address
3851 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4501
Phone Number
210-916-1920
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
2305006682 (Virginia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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