Provider Demographics
NPI:1861795296
Name:KOCHEN, DARCI R (RMT)
Entity type:Individual
Prefix:MRS
First Name:DARCI
Middle Name:R
Last Name:KOCHEN
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:MS
Other - First Name:DARCI
Other - Middle Name:R
Other - Last Name:DIEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RMT
Mailing Address - Street 1:60 WESTWOOD PL UNIT D7
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7754
Mailing Address - Country:US
Mailing Address - Phone:719-214-3663
Mailing Address - Fax:
Practice Address - Street 1:60 WESTWOOD PL UNIT D7
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7754
Practice Address - Country:US
Practice Address - Phone:719-214-3663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11267225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist