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Jan Koutny, LMT
Massage Therapist in Vancouver, Washington
NPI 1194249615

Jan Koutny is a Massage Therapist based in Vancouver, WA. Jan Koutny practices in Vancouver, WA and has the professional credentials of LMT. The NPI Number for Jan Koutny is 1194249615 and holds a License No. 00021588 (Washington).

The current practice location address for Jan Koutny is 109 Se 101St Ave, Vancouver, WA and can be reached out via phone at 360-553-1050 and via fax at 360-553-1050.

Location: 109 Se 101St Ave, Vancouver, WA, 98683-5292
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194249615
Provider Name
Jan Koutny
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
109 Se 101St Ave, Vancouver, WA, 98683-5292
Phone Number
360-553-1050
Fax Number
360-553-1050
Provider Enumeration Date
07/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
109 Se 101St Ave
City
Vancouver
State
Washington
Zip
98664-3907
Phone Number
360-553-1050
Fax Number
360-553-1050
person
Provider Business Mailing Address Details
Address
109 Se 101St Ave
City
Vancouver
State
Washington
Zip
98664-3907
Phone Number
360-553-1050
Fax Number
360-553-1050
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
00021588 (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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