IndividualActive
Emily Koopman
NPI 1619459062 · Athletic Trainer · Kailua, HI
Provider details
- NPI number
- 1619459062
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
399 Powder Creek Way
Dallas, GA 30157
Registry dates
- Enumerated
- 2018-09-02
- Last updated
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.