Doctor Name: | AUSTIN KOCCHI |
NPI Number: | 1568858835 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 11360 |
Business Practice Address: | 16838 E Palisades Blvd Bldg B-121 Fountain Hills, AZ - 852683786 |
Business Phone Number: | 4808372595 |
Business Fax Number: | 4808372773 |
Mailing Address: | Po Box 4570, SCOTTSDALE |
State: | AZ |
Postal Code: | 852614570 |
Phone Number: | 4805514961 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2015 |
NPI Last Update Date: | 04/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |