Ethan Koochel (NPI# 1336669217, PAC ID# 9335419316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1336669217 |
| PAC ID by PECOS | 9335419316 |
| Professional Enrollment ID | I20170725000310 |
| Full Name | Ethan Koochel |
| Organization Legal Name | MELLEVORE, LLC |
| Address |
935 E 4th St Junction City KS 66441-3239 |
| Phone Number | 7855796790 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1052681384 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 935 E 4th St, Junction City, KS 66441-3239 | 7855796790 | MELLEVORE, LLC |
| Organization Legal Name | MELLEVORE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke Brandon Henry | Physical Therapy | Mellevore, LLC | 935 E 4th St, Junction City, KS 66441-3239 |
| Miles Christensen | Physical Therapy | Mellevore, LLC | 935 E 4th St, Junction City, KS 66441-3239 |
| Jordan D Pruser | Physical Therapy | Mellevore, LLC | 935 E 4th St, Junction City, KS 66441-3239 |
| Street Address |
935 E 4TH ST |
| City | JUNCTION CITY |
| State | KS |
| Zip | 66441-3239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke Brandon Henry | Physical Therapy | Mellevore, LLC | 935 E 4th St, Junction City, KS 66441-3239 |
| Miles Christensen | Physical Therapy | Mellevore, LLC | 935 E 4th St, Junction City, KS 66441-3239 |
| Jordan D Pruser | Physical Therapy | Mellevore, LLC | 935 E 4th St, Junction City, KS 66441-3239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Reinerio | Clinical Social Worker | Pawnee Mental Health Service, Inc. | 814 Caroline, Junction City, KS 66441 |
| Elizabeth Jane Gant | Nurse Practitioner | Pawnee Mental Health Service, Inc. | 814 Caroline, Junction City, KS 66441 |
| Mitchell Keating | Chiropractic | Keating Chiropractic Pa | 1206 W 8th St, Junction City, KS 66441-2038 |
| Eric D Keating | Chiropractic | Keating Chiropractic Pa | 1206 W 8th St, Junction City, KS 66441-2038 |
| Guy Merle Reynoldson | Optometry | 1208 W 8th St, Junction City, KS 66441-2061 | |
| Raymond J Schmidt | Optometry | 338 W 7th St, Junction City, KS 66441-3054 | |
| Susan N Mulryan | Clinical Social Worker | 526 W 6th St, Junction City, KS 66441-3144 | |
| Ashley Deanne Francis | Optometry | Drs Price Young Odle and Horsch Pa | 1025 W 6th St, Junction City, KS 66441-3230 |
| Michael K Morris | Chiropractic | 514 N Eisenhower Dr B, Morris Chiropractic, Junction City, KS 66441-3286 | |
| Richard W Burnett | Clinical Social Worker | 132 N Eisenhower Dr, Junction City, KS 66441-3314 | |
| Find all physicians in zip 66441 | |||
| City | JUNCTION CITY |
| Zip Code | 66441 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | JUNCTION CITY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ethan Koochel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.