NPI 1699208629 · live from the CMS NPI Registry
Active Life Therapeutic Massage
Massage Therapist in Bend, OR. National Provider Identifier 1699208629, active.
NPI record
| NPI | 1699208629 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 325 Nw Vermont St, Suite 101, Bend, OR 97703 |
| Practice phone | 541-480-1427 |
| Enumerated | April 6, 2017 |
| Last updated | April 6, 2017 |
| Authorized official | Stephanie Wehrhan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.