Individual provider · Type 1 NPI

Jesse Vandenborn

Massage Therapist · Bend, OR

NPI number 1205669496 Active

Practice location

61239 Tetherow Dr Ste 208
Bend, OR 97702-3734

Call (541) 393-9648 Map

Mailing address

1630 NW Portland Ave
Bend, OR 97703-1409

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28374 (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 1205669496

Jesse Vandenborn's National Provider Identifier is 1205669496, issued on Aug 22, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Aug 22, 2024.