Provider Demographics
NPI:1982381042
Name:OCCHINO, AARON (LAC, MACCHM)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:OCCHINO
Suffix:
Gender:M
Credentials:LAC, MACCHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9015 CATTLE BARON PATH #1302
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747
Mailing Address - Country:US
Mailing Address - Phone:602-904-1968
Mailing Address - Fax:
Practice Address - Street 1:5424 W US HWY 290 SERVICE RD STE #106
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735
Practice Address - Country:US
Practice Address - Phone:512-387-4002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC02101171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist