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

Mr. Glen Wayne Koch, LMT

Individual provider Massage Therapist · NPI 1194057893

Mr. Glen Wayne Koch, LMT is a Massage Therapist in Port Townsend, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2010
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2552 S Discovery Rd
Port Townsend, WA 98368-8216
Phone: (360) 316-9093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3019 Eddy St, Port Townsend, WA 98368-5919 — (360) 316-9093

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA60133166 (WA)

Record details

NPI number1194057893
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedFebruary 4, 2010
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address2552 S Discovery Rd, Port Townsend, WA 98368-8216

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