Individual
LYDIA ROSE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13185 OLD NASHVILLE HWY, SMYRNA, TN 37167-6309
(615) 560-6622
Mailing address
1604 E MAIN ST APT 39, MURFREESBORO, TN 37130-4168
(901) 530-8081
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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