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KALLIE DANIELE VAN COPPENOLLE
NPI 1174080352
Specialist/Technologist - Athletic Trainer in Streetsboro, OH

Active since February 25, 2019
339 OPAL CT, STREETSBORO, OH 44241(330) 780-1369 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Feb 25, 2019 (2 updates tracked since 2019).

About Kallie Daniele Van Coppenolle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALLIE DANIELE VAN COPPENOLLE (NPI 1174080352) is an individual athletic trainer provider in Streetsboro, Ohio and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1174080352
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKALLIE DANIELE VAN COPPENOLLE
Location Address339 OPAL CTStreetsboro, OH 44241-4147
Mailing Address339 Opal CtStreetsboro, OH 44241-4147 · (330) 780-1369
Phone(330) 780-1369
Sole ProprietorYes
Enumeration DateFebruary 25, 2019
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1174080352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
339 OPAL CT, Streetsboro, OH 44241
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kallie Van Coppenolle's NPI number?

The NPI number for Kallie Van Coppenolle is 1174080352. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Kallie Van Coppenolle located?

Kallie Van Coppenolle practices at 339 Opal Ct, Streetsboro, OH 44241. The listed phone number is (330) 780-1369.

What is Kallie Van Coppenolle's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kallie Van Coppenolle was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.