NPI 1003655481

Jordan Kopsho

Practitioner Athletic Trainer Deer Park, WA

Practice location

Address: 707 S Park St, Deer Park, WA 99006-7025
Phone: (509) 276-8811
Mailing address: 1675 Crab Apple Cir, West Richland, WA 99353-5099

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATHL.A1.70142566 (WA)

Other Specialist/Technologist providers in Washington →

Registry record

NPI: 1003655481
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2024
Record last updated: 27 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.