Lacie Kay Malvaney, LMT

NPI #1194362640 in Bend, Oregon

Provider Information

NPI Number: 1194362640
Entity Type: Individual
Name: Lacie Kay Malvaney, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 3, 2019
Last Updated: Dec 3, 2019

Practice Location

Address: 805 SW INDUSTRIAL WAY STE 8
City: Bend
State: Oregon
ZIP Code: 97702-1093
Phone: (541) 610-6057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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