MR. Moon Marcelle Bukas, LMT

NPI #1174139588 in Bend, Oregon

Provider Information

NPI Number: 1174139588
Entity Type: Individual
Name: MR. Moon Marcelle Bukas, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 21, 2020
Last Updated: Feb 22, 2024

Practice Location

Address: 501 NE GREEN WOOD AVE
Address 2: 300
City: Bend
State: Oregon
ZIP Code: 97701
Phone: (541) 706-0961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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