Provider Demographics
NPI:1699470682
Name:KOCHIS, RACHAEL SIERRA (DC)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:SIERRA
Last Name:KOCHIS
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 1:11150 STONY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MI
Mailing Address - Zip Code:48160-9576
Mailing Address - Country:US
Mailing Address - Phone:734-626-4804
Mailing Address - Fax:
Practice Address - Street 1:134 E MAIN ST
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:MI
Practice Address - Zip Code:49285-9482
Practice Address - Country:US
Practice Address - Phone:517-851-3850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor