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Tanner Koch, LAT/ATC

NPI 1467943738 · on the registry since 2018

Practice

Address
2810 Birdie Ln
Bryant, AR 72022
Phone
(214) 476-2455

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-23

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 Arkansas