Michael R. Koch, PT

NPI #1225058878 in Waupaca, Wisconsin

Provider Information

NPI Number: 1225058878
Entity Type: Individual
Name: Michael R. Koch, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 19, 2006
Last Updated: Oct 11, 2018

Practice Location

Address: 1948 GODFREY DR
City: Waupaca
State: Wisconsin
ZIP Code: 54981-7908
Phone: (715) 340-5383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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