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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL STEPHEN KOCH, MS, ATC

Active

MICHAEL STEPHEN KOCH, MS, ATC is a Athletic Trainer healthcare provider located in DECATUR, Illinois. NPI 1235105404 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DECATUR, IL

Registration Details

NPI Number
1235105404
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2006 (20.277732936828 yrs)
Last Updated
Jul 8, 2007
License
96002099 (IL)

Practice Information

Address
102 W KENWOOD AVE
DECATUR, IL, 625264300
Browse IL providers · Browse ZIP 62526
Phone
2178766820
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DECATUR, IL

Name Credential NPI
NATHAN TAYLOR SHELSTA ATC 1255326187
MR. PATRICK LARRY ATC 1205822863
MR. JEFFREY BRUCE ROUNDS M.S., A.T.C., L.A.T 1376534636
JOHN RICHARD STORSVED II H.S.D. ATC 1356313225
MR. MATTHEW MUNJOY ATC 1205802964
MS. MINDY E BINGAMON MS, ATC 1386610772
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.