Individual provider · Type 1 NPI

Michelle Ranae Koenen

Massage Therapist · Port Orchard, WA

NPI number 1104112077 Active

Practice location

7859 Sidney Rd SW
Port Orchard, WA 98367-7030

Call (360) 876-0170 Map

Mailing address

PO Box 440
Port Orchard, WA 98366-0440

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00007058 (WA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1104112077

Michelle Ranae Koenen's National Provider Identifier is 1104112077, issued on Jun 20, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Orchard, WA. The record was last updated on Jun 20, 2011.