IndividualActive
Max Koch
NPI 1649452707 · Orthotic Fitter · Mansfield, TX
Provider details
- NPI number
- 1649452707
- Entity type
- Individual
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
400 Industrial Blvd
Ste 108
Mansfield, TX 76063-2202
Phone: (817) 453-2800
Fax: (866) 409-0273
Approximate (ZIP-level) locationGet directions
Mailing address
603 Biscayne Dr
Mansfield, TX 76063-3235
Registry dates
- Enumerated
- 2007-11-30
- Last updated
- 2007-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.