Johnathon Tyler Koski
NPI #1154807535 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1154807535
- Entity Type
- Individual
- Name
- Johnathon Tyler Koski
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 18, 2018
- Last Updated
- Jul 18, 2018
Practice Location
- Address
- 1468 NORWOOD DR
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63303-3318
- Phone
- (636) 866-1341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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