Kristine Nicole Koch
Physical Therapist - Neurology
261 Mack Ave
Detroit
, Michigan 48201-2495
Kristine Nicole Koch
Physical Therapist - Neurology
261 Mack Ave
Detroit
, Michigan 48201-2495
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Kristine Nicole Koch
- 47546 Viola Ln
- Chesterfield, MI
- Zip : 48047-2407
- Phone :
Second Address
- Kristine Nicole Koch
- 261 Mack Ave
- Detroit, MI
- Zip : 48201-2495
- Phone : (313) 745-1055
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 5501018686 | MI |
National Provider Identifier
| NPI | 1720556384 |
|---|---|
| Provider Name | Kristine Nicole Koch |
| First Address | Chesterfield, MI 48047-2407 |
| Second Address | Detroit, MI 48201-2495 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/11/2018 |
| Last Update Date | 12/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.