MEDICARE: KELLY TROCHE MT

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	225700000X	Massage Therapist	63748	CA
2	225700000X	Massage Therapist		CA
3	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1053001610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY TROCHE MT

Provider Business Mailing Address
First Line	:	2094 SAN MIGUEL DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94596-5449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2094 SAN MIGUEL DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94596-5449
Country	:	US
Telephone Number	:	925-289-8353
Fax Number	:

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

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	05/08/2023

Similar Medicare Providers

1548477540 — MR. MARTIN DOUGLAS WEAVER SR. M.D.
Practice Location Address:

1200 WALNUT ST , 4TH FLOOR
PHILADELPHIA, PA
19107-5449

Practice Phone: 215-545-5404
Practice Fax: 214-545-5408

1063640019 — DR. INNA POLYAKOV MD
Practice Location Address:

1200 WALNUT ST APT 505
PHILADELPHIA, PA
19107-5449

Practice Phone: 757-636-6067
Practice Fax:

1184084477 — JACQUELINE BORGES
Practice Location Address:

10350 THOMAS CREEK RD
RENO, NV
89511-5449

Practice Phone: 775-853-5508
Practice Fax: 775-828-9832

1851752836 — JACQUELINE S.BORGES
Practice Location Address:

10350 THOMAS CREEK RD
RENO, NV
89511-5449

Practice Phone: 775-853-5508
Practice Fax: 775-828-9832

1588182711 — JONATHAN BACHMAN LPC, CAADC
Practice Location Address:

842 COLUMBIA AVE E
BATTLE CREEK, MI
49014-5449

Practice Phone: 269-753-1710
Practice Fax: 269-753-1717

1073088357 — CHRISTIE GRAZIANO-DESIMONE MSN, AGACNP-BC
Practice Location Address:

842 COLUMBIA AVE E
BATTLE CREEK, MI
49014-5449

Practice Phone: 269-753-1710
Practice Fax:

Directions to “ KELLY TROCHE MT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.