Provider Demographics
NPI:1487333019
Name:KOEHLER, DEBRA MICHELLE
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:MICHELLE
Last Name:KOEHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9768 COUNTY HIGHWAY 111
Mailing Address - Street 2:
Mailing Address - City:UPPER SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:43351-9595
Mailing Address - Country:US
Mailing Address - Phone:419-731-3551
Mailing Address - Fax:
Practice Address - Street 1:9768 COUNTY HIGHWAY 111
Practice Address - Street 2:
Practice Address - City:UPPER SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:43351-9595
Practice Address - Country:US
Practice Address - Phone:419-731-3551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemaker