Individual
ZACHRY R KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1640 REDSTONE CENTER DR, PARK CITY, UT 84098-7605
(435) 776-7222
Mailing address
1640 REDSTONE CENTER DR, PARK CITY, UT 84098-7605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008925A
IN
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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