MICHAEL KOCH, MS, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1235105404

Practice Address

102 W KENWOOD AVE
Decatur, IL 62526

Phone: (217) 876-6820

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 96002099 (IL)

Frequently Asked Questions

NPI 1235105404 is the National Provider Identifier for MICHAEL KOCH, MS, ATC, a Specialist/Technologist - Athletic Trainer provider located in Decatur, IL. This NPI was enumerated on February 27, 2006.
MICHAEL KOCH, MS, ATC practices at 102 W KENWOOD AVE, Decatur, IL 62526.

Quick Facts

NPI
1235105404
Type
Individual
Enumerated
Feb 27, 2006
Last Updated
Jul 8, 2007

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