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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KALLIE DANIELE VAN COPPENOLLE

Active Sole Proprietor

KALLIE DANIELE VAN COPPENOLLE is a Athletic Trainer healthcare provider located in STREETSBORO, Ohio. NPI 1174080352 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · STREETSBORO, OH

Registration Details

NPI Number
1174080352
Provider Type
Individual
Gender
Female
NPI Issued
Feb 25, 2019 (7.4727773664754 yrs)
Last Updated
Sep 11, 2025
Sole Proprietor
Yes

Practice Information

Address
339 OPAL CT
STREETSBORO, OH, 442414147
Browse OH providers · Browse ZIP 44241
Phone
3307801369
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in STREETSBORO, OH

Name Credential NPI
STACI LYNN BOHANNON ATC 1225542129
RILEY SMITH 1245026608
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.