Healthcare Provider Details

I. General information

NPI: 1447682323
Provider Name (Legal Business Name): DEBRA LYNN HOPPER NCMTB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 CHURCH ST RM 202
PLYMOUTH MI
48170-1689
US

IV. Provider business mailing address

5998 RUNNYMEADE DR
CANTON MI
48187-2838
US

V. Phone/Fax

Practice location:
  • Phone: 734-416-5200
  • Fax: 734-416-1127
Mailing address:
  • Phone: 734-355-6656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: