Taproot Revival, LLC

NPI #1982571105 in Bend, Oregon

Provider Information

NPI Number: 1982571105
Entity Type: Organization
Organization Name: Taproot Revival, LLC
Primary Specialty: Massage Therapist
Enumeration Date: Oct 22, 2025
Last Updated: Oct 22, 2025

Practice Location

Address: 707 NW HILL ST
City: Bend
State: Oregon
ZIP Code: 97703-2922
Phone: (319) 929-6414

Authorized Official

Name: JOSIE NEUZIL, LMT
Title: OWNER
Phone: (319) 929-6414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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