NPI 1366882649

Jason Daniel Kopp, ATC

Practitioner Athletic Trainer Chanhassen, MN

Practice location

Address: 7872 Century Blvd, Chanhassen, MN 55317-8005
Phone: (952) 448-9081
Mailing address: 3140 Chowen Ave S APT 316w, Minneapolis, MN 55416-4533

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2438 (MN)

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1366882649
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2013
Record last updated: 1 Jul 2013

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.