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

Maxwell Teague Koch, LMT

Individual provider Massage Therapist · NPI 1790623056

Maxwell Teague Koch, LMT is a Massage Therapist in Austin, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

11160 Jollyville Rd Apt 704
Austin, TX 78759-5573
Phone: (972) 302-7145
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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 MTI148106 (TX)

Record details

NPI number1790623056
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

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