Lisha Danelle Koch, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61410357 Issued in WA

Practice address

708 Broadway Ste 403
Tacoma, WA 98402-3781

Phone

(253) 383-0577

NPI assigned

Apr 4, 2023

Last updated

Apr 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brilliant Life Chiropractic, LLC

  • Chiropractor
  • Tacoma, WA
  • NPI 1063666444
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1114622354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N CUSHMAN AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984031129",
            "telephone_number": "253-318-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 BROADWAY STE 403",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023781",
            "telephone_number": "253-383-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "LISHA",
        "middle_name": "DANELLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61410357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Kobayashi
• Marjorie Ann Kober, RN
• Timothy Mark Kobernik, D.O.
• Lillian H Koblenz, MD
• Jessica Koby, D.M.D.
• Melissa M Koch
• Sandra Lou Koch, OTR
• Sarah Elizabeth Koch, MD
• Shelby Jaye Koch
• Stephanie-Sue Stafford Koch, RN, MLT

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.