Bend Sovereign Wellness LLC

NPI #1679392641 in Bend, Oregon

Provider Information

NPI Number: 1679392641
Entity Type: Organization
Organization Name: Bend Sovereign Wellness LLC
Primary Specialty: Massage Therapist
Enumeration Date: Oct 7, 2024
Last Updated: Oct 7, 2024

Practice Location

Address: 2330 NE DIVISION ST STE 8
City: Bend
State: Oregon
ZIP Code: 97703-3570
Phone: (541) 728-0932

Authorized Official

Name: SAVANAH IMUS, LMT
Title: OWNER
Phone: (541) 326-8890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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