Individual
CHRISTOPHER KOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19020
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403877100
—
MD
01
—
4380001
FEDERAL BCBS
MD
01
—
60728701
BCBS
MD
01
—
7261400
AETNA
MD
Enumeration date
03/01/2007
Last updated
10/29/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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