Individual
CHRISTOPHER KOETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1716 E SCOTT AVE, WICHITA FALLS, TX 76301-8018
(940) 322-0900
(940) 322-0902
Mailing address
1716 E SCOTT AVE, WICHITA FALLS, TX 76301-8018
(940) 322-0900
(940) 322-0902
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/24/2017
Last updated
04/03/2020
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