Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Liesha Koch

Individual provider Speech-Language Pathologist · NPI 1194698365

Liesha Koch is a Qualified Speech Language Pathologist in Georgetown, Texas. Qualified in 2014, 12 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

60 Del Webb Blvd
Georgetown, TX 78633-2488
Phone: (512) 591-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 110092 (TX)

Record details

NPI number1194698365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address226 Independence Ave, Liberty Hill, TX 78642-2034

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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