MR. Glen Wayne Koch, LMT

NPI #1194057893 in Port Townsend, Washington

Provider Information

NPI Number: 1194057893
Entity Type: Individual
Name: MR. Glen Wayne Koch, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 4, 2010
Last Updated: Nov 14, 2024

Practice Location

Address: 2552 S DISCOVERY RD
City: Port Townsend
State: Washington
ZIP Code: 98368-8216
Phone: (360) 316-9093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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