Michael Stephen Koch, MS, ATC

NPI #1235105404 in Decatur, Illinois

Provider Information

NPI Number
1235105404
Entity Type
Individual
Name
Michael Stephen Koch, MS, ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, ATC
Enumeration Date
Feb 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
102 W KENWOOD AVE
ZIP Code
62526-4300
Phone
(217) 876-6820

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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