MEDICARE: MRS. MICHELLE KOCHER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	0003550	CO

General Provider Information

NPI Number	:	1528475423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE KOCHER OTR/L

Provider Business Mailing Address
First Line	:	10107 W DARTMOUTH PL
Second Line	:	#203
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-6719
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 DOWNING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5234
Country	:	US
Telephone Number	:	740-221-0234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2014
Last Update Date	:	07/13/2014

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