Individual
JASON DANIEL KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
Mailing address
3140 CHOWEN AVE S, APT 316W, MINNEAPOLIS, MN 55416-4533
(608) 732-7458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2438
MN
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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