After spending six years in the National Football League Koch received his License Massage Practitioner, CST, Acupressure Therapist, Reflexologist, Certified Yoga Instructor, Vipassana Meditation Instructor and uses modalities of Acupressure, Counseling, Energy Work, Massage Therapy, Reflexology. He started Whitecrane Therapeutics more than two decades ago. Koch and his wife also formed a second business Advanced Craniosacral Therapy of Chelsea
Koch and his wife Amy were featured in "The Crazy Wisdom Journal" for their massage therapy work.
Each year Markus and Amy go to Brazil and are guides for John of God. Koch's own experience with testicular cancer, severe nerve pain, and debilitating depression have been a healing journey. Markus and Amy guide yearly trips to Brazil.