Michael Koch, MS, ATC

NPI 1235105404 · on the registry since 2006

Practice

Address: 102 W Kenwood Ave
Decatur, IL 62526
Phone: (217) 876-6820
Organisation at this address: Drs Graham & Graham Ltd
Decatur Memorial Hospital
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 62

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois