Timothy James Koehler

NPI #1851856173 in Belvidere, Illinois

Provider Information

NPI Number: 1851856173
Entity Type: Individual
Name: Timothy James Koehler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 1, 2019
Last Updated: Feb 1, 2019

Practice Location

Address: 921 PROSPECT ST
City: Belvidere
State: Illinois
ZIP Code: 61008-4570
Phone: (815) 980-6742

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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