John C Koth, MPT

NPI #1124110002 in Ketchum, Idaho

Provider Information

NPI Number
1124110002
Entity Type
Individual
Name
John C Koth, MPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
MPT
Enumeration Date
Sep 29, 2006
Last Updated
Jan 17, 2014

Practice Location

Address
101 SADDLE ROAD
State
Idaho
ZIP Code
83340-1510
Phone
(208) 726-9222

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Physical Therapist - SportsSports
Physical Therapist - OrthopedicOrthopedic

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