Individual provider · Type 1 NPI
Nicole Guerra Willingham, LMT
Massage Therapist · Bend, OR
NPI number
1043047095
Active
Practice location
929 SW Simpson Ave Ste 150
Bend, OR 97702-3599
Fax (866) 728-1099
Mailing address
1238 SW Silver Lake Blvd
Bend, OR 97702-2236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 27761 (OR) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Another provider at this address
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About NPI 1043047095
Nicole Guerra Willingham, LMT's National Provider Identifier is 1043047095, issued on Sep 16, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on May 26, 2026.