Individual
ANGELA ESTHER KOICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
8100 W 78TH ST, EDINA, MN 55439-2516
(952) 946-9777
Mailing address
1414 JULIET AVE, SAINT PAUL, MN 55105-2565
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8244
MN
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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