Individual provider · Type 1 NPI

Jan Koutny, LMT

Massage Therapist · Vancouver, WA

NPI number 1194249615 Active

Practice location

109 SE 101st Ave
Vancouver, WA 98664-3907

Call (360) 553-1050 Map

Fax (360) 553-1050

Mailing address

305 SE Chkalov Dr Ste 111-302
Vancouver, WA 98683-5292

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X00021588 (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 1194249615

Jan Koutny, LMT's National Provider Identifier is 1194249615, issued on Jul 26, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 26, 2017.