Individual
MR. KEITH ALAN KOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MOMT
Contact information
Practice address
1025 E BROADWAY RD, STE. 100, TEMPE, AZ 85282-1599
(480) 829-0217
Mailing address
1025 E BROADWAY RD, STE. 100, TEMPE, AZ 85282-1599
(480) 829-0217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-001593
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036551
UNSPECIFIED
AZ
Enumeration date
11/16/2006
Last updated
02/19/2025
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