Elisabeth May Koczur

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61243812 Issued in WA

Practice address

546 N Jefferson LN Ste 303
Spokane, WA 99201-7104

Phone

(509) 290-6406

Fax

(509) 292-4530

NPI assigned

May 11, 2022

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Movement Clinic

  • Chiropractor
  • Spokane, WA
  • NPI 1609350321

  Single Specialty

  NPD

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1306582358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 N JEFFERSON LN STE 303",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017104",
            "telephone_number": "509-290-6406",
            "fax_number": "509-292-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N JEFFERSON LN STE 303",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017104",
            "telephone_number": "509-290-6406",
            "fax_number": "509-292-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCZUR",
        "first_name": "ELISABETH",
        "middle_name": "MAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61243812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Koch
• Lisa M Koch, PH.D.
• Todd C Koch, NP
• Jenna Kochevar, DO
• Linda A Kocis, LMHC
• Michael H Kody, M.D.
• Maile D Koeckritz, LMP
• Alyssa Koelemay, LSWAIC
• Jayme Koerselman, M.A.
• Cheyenne R Koester

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.