Mr Glen Wayne Koch, LMP - Massage Therapist in Port Townsend, WA

Mr Glen Wayne Koch, LMP is a Massage Therapist based in Port Townsend, Washington. Mr Glen Wayne Koch is licensed to practice in Washington (license number MA60133166) and his current practice location is 3019 Eddy St, Port Townsend, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 316-9093.

NPI number for Mr Glen Wayne Koch is 1194057893 and his current mailing address is Po Box 1192, Port Townsend, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194057893.

Contact Information

Mr Glen Wayne Koch, LMP
3019 Eddy St,
Port Townsend, WA 98368-5919
(360) 316-9093
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Glen Wayne Koch
GenderMale
SpecialityMassage Therapist
Location3019 Eddy St, Port Townsend, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194057893
  • Provider Enumeration Date: 02/04/2010
  • Last Update Date: 02/04/2010

Medical Identifiers

Medical identifiers for Mr Glen Wayne Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194057893NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist MA60133166 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glen Wayne Koch is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Glen Wayne Koch, LMP
Po Box 1192,
Port Townsend, WA 98368-0992

Ph: (360) 316-9093
Mr Glen Wayne Koch, LMP
3019 Eddy St,
Port Townsend, WA 98368-5919

Ph: (360) 316-9093

Reviews and Comments


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