Individual
REBECCA KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
818 E BROADWAY ST, SPARTA, IL 62286-1820
(618) 443-2177
Mailing address
1016 ALAN DR, RED BUD, IL 62278-1403
(618) 978-3812
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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