Provider Demographics
NPI:1427927003
Name:MOCCHI, GABRIELLE DIANE (DC)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:DIANE
Last Name:MOCCHI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 BLUESTEM PL
Mailing Address - Street 2:
Mailing Address - City:CHAMPLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55316-2696
Mailing Address - Country:US
Mailing Address - Phone:612-590-4275
Mailing Address - Fax:
Practice Address - Street 1:7373 KIRKWOOD CT N STE 110
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-5211
Practice Address - Country:US
Practice Address - Phone:763-898-3517
Practice Address - Fax:763-205-0417
Is Sole Proprietor?:No
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7375111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor