Individual
JESSE GEORGE COPS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1910 UNIVERSITY DR, BOISE STATE UNIVERSITY - ATHLETICS, BOISE, ID 83725-0002
(208) 426-3439
Mailing address
1341 JAMES HOWE RD, DALLAS, OR 97338-9695
(503) 851-9346
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-231
ID
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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