Individual
KEVIN COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 277-8715
Mailing address
3901 N MAIN ST UNIT 130, PRESCOTT VALLEY, AZ 86314-2686
(302) 867-4214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29812
AZ
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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