| NPI | 1154095172 |
|---|---|
| Former Name | KATELYNN KOOPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015929) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 009330) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2026-05-02 |