Individual provider · Type 1 NPI

Glen Wayne Koch, LMT

Massage Therapist · Port Townsend, WA

NPI number 1194057893 Active

Practice location

2552 S Discovery Rd
Port Townsend, WA 98368-8216

Call (360) 316-9093 Map

Other practice locations

  • 3019 Eddy St, Port Townsend, WA 98368-5919 · (360) 316-9093

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60133166 (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 1194057893

Glen Wayne Koch, LMT's National Provider Identifier is 1194057893, issued on Feb 4, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Townsend, WA. The record was last updated on Nov 14, 2024.