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

Michael Stephen Koch, MS, ATC

Individual provider Athletic Trainer · NPI 1235105404

Michael Stephen Koch, MS, ATC is an Athletic Trainer in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

102 W Kenwood Ave
Decatur, IL 62526-4300
Phone: (217) 876-6820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 96002099 (IL)

Record details

NPI number1235105404
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESJuly 13, 2026
Mailing address3137 Colorado Dr, Decatur, IL 62526-2332

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