Individual provider · Type 1 NPI
Tracey Anthony, LMT
Massage Therapist · Bend, OR
NPI number
1659605095
Active
Practice location
1470 NW First St, Suite 200
Bend, OR 97701
Mailing address
69260 Crooked Horseshoe Rd
Sisters, OR 97759-9602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 13467 (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 1659605095
Tracey Anthony, LMT's National Provider Identifier is 1659605095, issued on Oct 1, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Oct 1, 2009.