Individual ProviderAlexander KochSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address350 N Grandview Ave, Dubuque, IA 52001-6388(563) 582-1881(608) 697-9971PECOS EnrollmentBased on the most recent information from CMS, provider Alexander Koch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1407340268Provider TypeIndividualFull NameKoch, AlexanderCredentialMS, LAT, ATCGenderMaleSole ProprietorNoEnumeration Date6/15/2018Last Updated6/15/2018Contact InformationPractice LocationPractice Address350 N Grandview Ave, Dubuque, IA 52001-6388Phone(563) 582-1881FaxUnlisted FaxMailing LocationMailing Address465 1/2 Sidney St, East Dubuque, IL 61025-1148Phone(608) 697-9971FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense089726Iowa