Individual
ERIN RENEE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, EMT
Contact information
Practice address
600 HOYT ST, PERU, NE 68421-3073
(785) 294-1534
Mailing address
PO BOX 10, 600 HOYT ST, PERU, NE 68421-0010
(785) 294-1534
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
664
NE
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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