Individual
ETHAN PATRICK KOOCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT, ATC
Contact information
Practice address
935 E 4TH ST., JUNCTION CITY, KS 66441
(785) 539-9669
Mailing address
4800 QUAIL CREEK DR, GREAT BEND, KS 67530-6838
(620) 793-0092
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11-05571
KS
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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