Individual
DEREK KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
2303 BROOKFORD DR, TOLEDO, OH 43614-4308
(419) 615-0193
Mailing address
2303 BROOKFORD DR, TOLEDO, OH 43614-4308
(419) 615-0193
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004130
OH
Other
Enumeration date
05/30/2015
Last updated
05/30/2015
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