Healthcare Provider Details

I. General information

NPI: 1477610210
Provider Name (Legal Business Name): KOCHS ORTHOTICS AND PROSTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MAIN STREET SUITE A
CHELSEA MI
48118
US

IV. Provider business mailing address

1301 MAIN STREET SUITE A
CHELSEA MI
48118
US

V. Phone/Fax

Practice location:
  • Phone: 734-433-2660
  • Fax: 734-433-1931
Mailing address:
  • Phone: 734-433-2660
  • Fax: 734-433-1931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. MARCELLO GIRAO
Title or Position: OWNER
Credential: CO-PED
Phone: 248-723-5452