Individual
MR. BRANDON A KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3477 COUNTY ROAD 254, ARCADIA, OH 44804-9757
(419) 306-2931
Mailing address
3477 COUNTY ROAD 254, ARCADIA, OH 44804-9757
(419) 306-2931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1442035
BWC
OH
05
—
2527699
—
OH
Enumeration date
12/20/2005
Last updated
10/21/2013
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