Individual provider · Type 1 NPI

Issac Ambrose Konkler, LMT

Massage Therapist · Vancouver, WA

NPI number 1669024030 Active

Practice location

11015 NE Fourth Plain Blvd, Ste B
Vancouver, WA 98662

Call (360) 892-0451 Map

Fax (360) 892-1601

Mailing address

11015 NE Fourth Plain Blvd Ste B
Vancouver, WA 98662-6314

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60970420 (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 1669024030

Issac Ambrose Konkler, LMT's National Provider Identifier is 1669024030, issued on Jul 15, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Oct 9, 2025.