MR. Glen Wayne Koch, LMP is a massage therapist in Port Townsend, WA. The provider is 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. MR. Glen Wayne Koch, LMP NPI is 1194057893. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3019 EDDY ST
PORT TOWNSEND, WA
ZIP 98368-919
Phone: (360) 316-9093
The enumeration date for this NPI number is 2/4/2010 and was last updated on 2/4/2010.