Provider Demographics
NPI:1750745444
Name:KOY, CHRISTOPHER CHRISTOPHER (PT)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CHRISTOPHER
Last Name:KOY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:DR
Other - First Name:CHRIS
Other - Middle Name:CHIBANTE
Other - Last Name:KOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:107 5TH ST SE
Mailing Address - Street 2:#7
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44281
Mailing Address - Country:US
Mailing Address - Phone:330-753-7400
Mailing Address - Fax:
Practice Address - Street 1:107 5TH ST SE
Practice Address - Street 2:#7
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44281
Practice Address - Country:US
Practice Address - Phone:330-753-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016205225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist