MEDICARE: ARIANNE KOPF RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2008007527	MO

General Provider Information

NPI Number	:	1275727869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANNE KOPF RPT

Provider Business Mailing Address
First Line	:	9304 N REVERE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64154-2038
Country	:	US
Telephone Number	:	816-527-6250
Fax Number	:

Provider Business Practice Location Address
First Line	:	9304 N REVERE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64154-2038
Country	:	US
Telephone Number	:	816-527-6250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	01/20/2022

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