Provider Demographics
NPI:1427428226
Name:OCHS, MELISSA (MS, ATC, LAT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:OCHS
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 GATTIS SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3808
Mailing Address - Country:US
Mailing Address - Phone:512-704-0317
Mailing Address - Fax:512-704-0190
Practice Address - Street 1:2801 GATTIS SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3808
Practice Address - Country:US
Practice Address - Phone:512-704-0317
Practice Address - Fax:512-704-0190
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41142255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer