Mr. Derek Joseph Kopp I
Mr. Derek Joseph Kopp I is an Athletic Trainer in Imlay City, Michigan. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
1734 Caldwell RdImlay City, MI 48444-9409
Phone: (810) 417-4202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1376936450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2015 |
| Last updated in NPPES | March 12, 2015 |
| Mailing address | 1734 Caldwell Rd, Imlay City, MI 48444-9409 |