Individual provider · Type 1 NPI
Connie L. Koczur
Massage Therapist · Sublimity, OR
NPI number
1700178134
Active
Practice location
12113 Golf Ln SE
Sublimity, OR 97385-9707
Mailing address
PO Box 558
Sublimity, OR 97385-0558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 17959 (OR) |
| Home Health Aide | 374U00000X | 795072 (OR) |
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.
Other massage therapist providers in Sublimity
About NPI 1700178134
Connie L. Koczur's National Provider Identifier is 1700178134, issued on May 4, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sublimity, OR. The record was last updated on Mar 25, 2016.