Provider Demographics
NPI:1407551047
Name:KOE CONSULTANT FIRM
Entity Type:Organization
Organization Name:KOE CONSULTANT FIRM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:ALLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-896-5525
Mailing Address - Street 1:20806 SHAKER DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23803-1826
Mailing Address - Country:US
Mailing Address - Phone:804-896-5525
Mailing Address - Fax:
Practice Address - Street 1:13125 RIVERS BEND BLVD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2699
Practice Address - Country:US
Practice Address - Phone:804-896-5525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty