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ERIN RENEE KOCH ATC, EMT

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1790175883

Individual Registrant:
 ERIN RENEE KOCH ATC, EMT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
600 HOYT ST  PERU, NE 68421-3073 US
Tel: 785-294-1534  Fax: --

Contact information for business:
PO BOX 10 600 HOYT ST PERU, NE 68421-0010 US
Tel: 785-294-1534  Fax: --

Registration Information:
NPI: 1790175883
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
NE664

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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