MR. Tanner Allen Koch, LAT/ATC

NPI #1467943738 in Bryant, Arkansas

Provider Information

NPI Number
1467943738
Entity Type
Individual
Name
MR. Tanner Allen Koch, LAT/ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT/ATC
Enumeration Date
May 23, 2018
Last Updated
May 23, 2018

Practice Location

Address
2810 BIRDIE LN
City
Bryant
ZIP Code
72022-6740
Phone
(214) 476-2455

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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