Most Relevant Information
Provider Data
| NPI Number: | 1003321852 |
| Provider Name: | JONATHON DUSTIN KOCHER MASSAGE THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA60806961 |
Most Important Dates
| Enumeration Date: | 12/01/2017 |
| Last Updated: | 12/01/2017 |
Provider Practice Location
1002 MARTIN LUTHER KING JR WAY
TACOMA
WA
984054150
Practice Location Phone/Fax
| Phone: | 2537503381 |
| Fax: | 2532671860 |
Provider Mailing Location
1002 MARTIN LUTHER KING JR WAY
TACOMA
WA
984054150
Provider Mailing Phone/Fax
| Phone: | 2537503381 |
| Fax: | 2532671860 |