Individual
LOGAN J KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14081 MANCHESTER RD, BALLWIN, MO 63011-4513
(636) 493-8642
Mailing address
647 SPIRIT AIRPARK WEST DR STE 101, CHESTERFIELD, MO 63005-1032
(636) 223-5700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
100737
IA
Other
Enumeration date
06/09/2020
Last updated
09/16/2024
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