Individual
RILEY COLIN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2129 COBBLESTONE WAY CT, TERRE HAUTE, IN 47802-5402
(830) 660-3164
Mailing address
2129 COBBLESTONE WAY CT, TERRE HAUTE, IN 47802-5402
(830) 660-3164
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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