Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TANNER ALLEN KOCH, LAT/ATC
ActiveMR. TANNER ALLEN KOCH, LAT/ATC is a Athletic Trainer healthcare provider located in BRYANT, Arkansas. NPI 1467943738 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRYANT, AR
Registration Details
- NPI Number
- 1467943738
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2018 (8.1909355599195 yrs)
- Last Updated
- May 23, 2018
Practice Information
- Address
-
2810 BIRDIE LNBRYANT, AR, 720226740Browse AR providers · Browse ZIP 72022
- Phone
- 2144762455
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.