Individual
AMY S KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1640 WEST REDSTONE DRIVE, SUITE 200, PARK CITY, UT 84098
(435) 776-7222
Mailing address
1640 WEST REDSTONE DRIVE, SUITE 200, PARK CITY, UT 84098
(435) 776-7222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6003459A
IN
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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