Provider Demographics
NPI:1568231066
Name:KOCH - PROPP, ERIN L (CIWS, ACC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:KOCH - PROPP
Suffix:
Gender:F
Credentials:CIWS, ACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 77TH TRL SE
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-5847
Mailing Address - Country:US
Mailing Address - Phone:360-292-8142
Mailing Address - Fax:
Practice Address - Street 1:1225 77TH TRL SE
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-5847
Practice Address - Country:US
Practice Address - Phone:360-292-8142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach