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

At Vancouver Massage, LLC

Organization Massage Therapist · NPI 1164926374

At Vancouver Massage, LLC provides Massage Therapist services in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1508 Broadway St
Vancouver, WA 98663-3434
Phone: (360) 635-3477
Fax: (844) 682-7291
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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 MA00019183 (WA)

Record details

NPI number1164926374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Koncos — Owner · (360) 635-3477
Other names At Vancouver Massage
NPI enumeratedMarch 21, 2018
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address204 E 16th St, Vancouver, WA 98663-3409

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