NPI 1073804589 · live from the CMS NPI Registry
Elizabeth Macleod Allen, LMT
Massage Therapist in Bend, OR. National Provider Identifier 1073804589, active.
NPI record
| NPI | 1073804589 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1288 Sw Simpson Ave, Suite K, Bend, OR 97702 |
| Practice phone | 541-617-9969 |
| Enumerated | May 2, 2011 |
| Last updated | May 2, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 18073 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.