Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taijiro Koyama, LAT, ATC

Individual provider Athletic Trainer · NPI 1477385029

Taijiro Koyama, LAT, ATC is an Athletic Trainer in Athens, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

200 Richland Ave
Athens, OH 45701
Phone: (585) 815-5344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT007039 (OH)

Record details

NPI number1477385029
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 12, 2024

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