Male or Other

Andrew W. Koch PT

Physical Therapist in Edgewood, KY(View on Map)

Full Name

Andrew William Koch PT

NPI Number

1407839582

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/22/2005

Specialties

(Taxonomies)

Code

225100000X
174400000X

Primary Taxonomy

Yes
No

Licenses

State

Kentucky
Ohio

License Number

004871
011275

Contact
Information

Purpose

Mailing
Location

Address

560 S LOOP RD
560 S LOOP RD

City

Edgewood
Edgewood

State

KY
KY

Postal Code

41017-3405
41017-3405

Country

US
US

Telephone Number

(859) 301-2663
(859) 301-2663

Identifiers

Identifier

7100028250

Identifier State

KY

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/06/2015

Provider Address

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