Mckenzie Marie Koch, OTD, OTR/L is a
Occupational Therapist based in Lake City, Minnesota. Mckenzie Marie Koch is licensed to practice in Minnesota (license number 107540) and her current practice location is
500 W Grant St, Lake City, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 377-6285.
NPI number for Mckenzie Marie Koch is 1295626208 and her current mailing address is Po Box 860912, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295626208.
Healthcare Provider's Profile
| Full Name | Mckenzie Marie Koch |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 500 W Grant St, Lake City, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295626208
- Provider Enumeration Date: 07/09/2025
- Last Update Date: 02/04/2026
Medical Identifiers
Medical identifiers for Mckenzie Marie Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295626208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 107540 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mckenzie Marie Koch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mckenzie Marie Koch, OTD, OTR/L Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511 | Mckenzie Marie Koch, OTD, OTR/L 500 W Grant St, Lake City, MN 55041-1143 Ph: (507) 377-6285 |
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