Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MRS. STEPHANIE LYNN KOCH
Active
Individual
MRS. STEPHANIE LYNN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003817321
—
MI
05
—
1572167
—
MI
Enumeration date
03/01/2018
Last updated
03/17/2018
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