JONATHAN EDWARD KOTH

MARSHFIELD, WI
NPI1225790215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  2431-39)
Enumeration Date2021-10-07
Last Update Date2024-02-16
Business Address
JONATHAN EDWARD KOTH LAT
204 N CENTRAL AVE
MARSHFIELD, WI 54449-2109
Phone number: 715-898-1600
Mailing Address
JONATHAN EDWARD KOTH LAT
204 N CENTRAL AVE
MARSHFIELD, WI 54449-2109
Phone number: 715-898-1600
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