1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Massage Therapist
  6. NPI Profile

MAXWELL TEAGUE KOCH LMT
NPI 1790623056
Massage Therapist in Austin, TX

Active since March 24, 2026
11160 JOLLYVILLE RD APT 704, AUSTIN, TX 78759(972) 302-7145 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxwell Teague Koch Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXWELL TEAGUE KOCH LMT (NPI 1790623056) is an individual massage therapist in Austin, Texas, licensed in Texas (MTI148106) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1790623056
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMAXWELL TEAGUE KOCHCredential: LMT
Location Address11160 JOLLYVILLE RD APT 704Austin, TX 78759-5573
Mailing Address11160 Jollyville Rd Apt 704Austin, TX 78759-5573 · (972) 302-7145
Phone(972) 302-7145
Sole ProprietorYes
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1790623056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in TX · MTI148106
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
11160 JOLLYVILLE RD APT 704, Austin, TX 78759
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxwell Koch's NPI number?

The NPI number for Maxwell Koch is 1790623056. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Maxwell Koch located?

Maxwell Koch practices at 11160 Jollyville Rd Apt 704, Austin, TX 78759. The listed phone number is (972) 302-7145.

What is Maxwell Koch's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Maxwell Koch was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.