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Mr. Glen Wayne Koch, LMT
Massage Therapist in Port Townsend, Washington
NPI 1194057893

Glen Wayne Koch is a Massage Therapist based in Port Townsend, WA. Glen Wayne Koch practices in Port Townsend, WA and has the professional credentials of LMT. The NPI Number for Glen Wayne Koch is 1194057893 and holds a License No. MA60133166 (Washington).

The current practice location address for Glen Wayne Koch is 2552 S Discovery Rd, Port Townsend, WA and can be reached out via phone at 360-316-9093.

Location: 2552 S Discovery Rd, Port Townsend, WA, 98368-8216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194057893
Provider Name
Glen Wayne Koch
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2552 S Discovery Rd, Port Townsend, WA, 98368-8216
Phone Number
360-316-9093
Fax Number
Provider Enumeration Date
02/04/2010
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
2552 S Discovery Rd
City
Port Townsend
State
Washington
Zip
98368-8216
Phone Number
360-316-9093
Fax Number
person
Provider Business Mailing Address Details
Address
2552 S Discovery Rd
City
Port Townsend
State
Washington
Zip
98368-8216
Phone Number
360-316-9093
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60133166 (Washington)
Definition
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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