Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

At Vancouver Massage, LLC

Organization Massage Therapist · NPI 1164926374

At Vancouver Massage, LLC is a Massage Therapist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1508 Broadway St
Vancouver, WA 98663-3434
Phone: (360) 635-3477
Fax: (844) 682-7291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA00019183 (WA)

Record details

NPI number1164926374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Koncos — Owner · (360) 635-3477
Other names At Vancouver Massage
NPI enumeratedMarch 21, 2018
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address204 E 16th St, Vancouver, WA 98663-3409

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