Jordan Kopsho

NPI 1003655481 · on the registry since 2024

Practice

Address: 707 S Park St
Deer Park, WA 99006
Phone: (509) 276-8811
Organisation at this address: Revive Therapeutic Massage
Deer Park Physical Therapy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington