Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Derek Joseph Kopp I

Individual provider Athletic Trainer · NPI 1376936450

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
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Practice location Address checks out

1734 Caldwell Rd
Imlay 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 number1376936450
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 12, 2015
Last updated in NPPESMarch 12, 2015