Individual provider · Type 1 NPI

Jesse Tristan Slater, AAS

Massage Therapist · Bend, OR

NPI number 1669919981 Active

Practice location

816 NW Hill St
Bend, OR 97703-2925

Call (541) 280-7234 Map

Mailing address

18973 Baker Rd
Bend, OR 97702-7917

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22002 (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 1669919981

Jesse Tristan Slater, AAS's National Provider Identifier is 1669919981, issued on Jan 24, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Jan 24, 2017.