Jonathan Edward Koth, LAT
NPI #1225790215 in Marshfield, Wisconsin
Provider Information
- NPI Number
- 1225790215
- Entity Type
- Individual
- Name
- Jonathan Edward Koth, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT
- Enumeration Date
- Oct 7, 2021
- Last Updated
- Feb 16, 2024
Practice Location
- Address
- 204 N CENTRAL AVE
- City
- Marshfield
- State
- Wisconsin
- ZIP Code
- 54449-2109
- Phone
- (715) 898-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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