Individual provider · Type 1 NPI

Wyatt Winterbottom, LMT

Massage Therapist · Bend, OR

NPI number 1538041082 Active

Practice location

369 NE Revere Ave Ste 105
Bend, OR 97701-4082

Fax (541) 323-3483

Mailing address

1902 NE Monterey Ave
Bend, OR 97701-6462

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1538041082

Wyatt Winterbottom, LMT's National Provider Identifier is 1538041082, issued on Jul 24, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Jul 24, 2025.