Individual provider · Type 1 NPI

Ellie Hickle, LMT

Massage Therapist · Bend, OR

NPI number 1346059490 Active

Practice location

55 NW Wall St Ste 100
Bend, OR 97703-3200

Call (541) 389-4321 Map

Fax (541) 389-4420

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28695 (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 1346059490

Ellie Hickle, LMT's National Provider Identifier is 1346059490, issued on Jan 3, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Jan 3, 2025.