Individual
ANN KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
417 N WATER ST, SILVERTON, OR 97381-1645
(503) 902-9093
Mailing address
417 N WATER ST, SILVERTON, OR 97381-1645
(503) 902-9093
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26733
OR
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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