Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tanner Allen Koch, LAT/ATC

Individual provider Athletic Trainer · NPI 1467943738

Mr. Tanner Allen Koch, LAT/ATC is an Athletic Trainer in Bryant, Arkansas. Licensed in Arkansas. Registered with an NPI since 2018.

Licensed in
AR
In the registry since
2018
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Practice location Address checks out

2810 Birdie Ln
Bryant, AR 72022-6740
Phone: (214) 476-2455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (AR)

Record details

NPI number1467943738
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT/ATC
Sole proprietorNo
NPI enumeratedMay 23, 2018
Last updated in NPPESMay 23, 2018

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