Individual
KRISTA COPPESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3817 COLONEL GLENN HWY, BEAVERCREEK, OH 45324
(937) 427-9200
Mailing address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
(513) 755-6600
(513) 755-3762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007559
OH
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187155
—
OH
01
—
AB7360731
MEDICARE PIN
OH
Enumeration date
10/24/2006
Last updated
05/09/2019
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