Individual
MR. CHRISTIAN MARK KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11515 TROOST AVE, KANSAS CITY, MO 64131-3769
(816) 943-0101
Mailing address
1422 SOUTHVIEW DR, LIBERTY, MO 64068
(402) 730-3081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2002015307
MO
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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