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Individual

AMY KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, CMPT, COMT

Contact information

Practice address
11336 S 96TH ST STE 114, PAPILLION, NE 68046-4211
(402) 315-3603
(402) 718-9973
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2511
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025895900
NE
05
10025896000
NE
05
10025896100
NE
05
10025941700
NE
05
10026056700
NE
05
10026252200
NE
05
10026445500
NE
05
1417385915
IA
Enumeration date
10/18/2013
Last updated
02/25/2025
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