Individual
MARCUS EUGENE KOHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(813) 957-4404
Mailing address
13170 W PEARL AVE, PROSSER, NE 68883-1703
(402) 469-3634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2569
NE
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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