Individual
DAVID KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
424 NE FRANKLIN AVE, BEND, OR 97701-4919
(541) 388-3588
Mailing address
1539 SW 21ST PL, REDMOND, OR 97756-9498
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010380
GA
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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