Provider Demographics
NPI:1487371837
Name:OCHS, SHELLEY D (LAC, PHD)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:D
Last Name:OCHS
Suffix:
Gender:F
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 NEW LAGRANGE ROAD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222
Mailing Address - Country:US
Mailing Address - Phone:502-504-7334
Mailing Address - Fax:
Practice Address - Street 1:1169 EASTERN PKWY STE 3411
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1420
Practice Address - Country:US
Practice Address - Phone:502-650-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist