IndividualActive
Connie Koczur
NPI 1700178134 · Massage Therapist · Sublimity, OR
Provider details
- NPI number
- 1700178134
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 17959 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Nursing Service Related Providers
Practice location
12113 Golf Ln Se
Sublimity, OR 97385-9707
Phone: (503) 910-8663
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 558
Sublimity, OR 97385-0558
Registry dates
- Enumerated
- 2011-05-04
- Last updated
- 2016-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.