Healthcare Provider Details

I. General information

NPI: 1518872779
Provider Name (Legal Business Name): HANNAH COOPER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 S STATE ROUTE 100
TIFFIN OH
44883-9356
US

IV. Provider business mailing address

54 HARVEST LN
TIFFIN OH
44883-3345
US

V. Phone/Fax

Practice location:
  • Phone: 419-447-7203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021525
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: