NPI age
3 years
Enumerated 2022-05-31
● Active
Type 1 · Individual
Opal Ann Koeppel Willcoxson
Koeppel Willcoxson is 1 of 94 specialist/technologist providers in Moscow and 1 of 326 in Idaho.
Primary specialty
Specialist/Technologist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-06-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 326 active specialist/technologist providers in Idaho.
NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-05Enumerated in NPPES
2022
2026
Where they practice
Practice location
201 W Taylor Ave Apt 233
Moscow, ID 838434417
Mailing address
201 W Taylor Ave Apt 233
Moscow, ID 838434417
Specialties
-
Specialist/Technologist PrimaryAthletic 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,...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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