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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27761 (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.

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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.