Andrew Koenig

NPI #1750828927 in Rochelle, Illinois

Provider Information

NPI Number: 1750828927
Entity Type: Individual
Name: Andrew Koenig
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 26, 2017
Last Updated: Feb 2, 2017

Practice Location

Address: 1020 N 3RD ST
City: Rochelle
State: Illinois
ZIP Code: 61068-1758
Phone: (563) 580-5495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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