Active Life Therapeutic Massage

NPI #1699208629 in Bend, Oregon

Provider Information

NPI Number: 1699208629
Entity Type: Organization
Organization Name: Active Life Therapeutic Massage
Primary Specialty: Massage Therapist
Enumeration Date: Apr 6, 2017
Last Updated: Apr 6, 2017

Practice Location

Address: 325 NW VERMONT ST
Address 2: SUITE 101
City: Bend
State: Oregon
ZIP Code: 97703-1916
Phone: (541) 480-1427

Authorized Official

Name: STEPHANIE WEHRHAN, LMT
Title: OWNER
Phone: (541) 480-1427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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