Individual
KIP ORLO KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-3107
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-3107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-009525-L
PA
225100000X
Physical Therapist
PT-1132
AR
Other
Enumeration date
08/25/2005
Last updated
05/02/2008
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