Individual provider · Type 1 NPI

Ellyn Sue Vandenberg, LMT

Massage Therapist · Bend, OR

NPI number 1699631374 Active

Practice location

2955 N Hwy 97
Bend, OR 97703-7559

Call (541) 728-3004 Map

Mailing address

63987 Sunset Dr
Bend, OR 97703-8590

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5129 (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 1699631374

Ellyn Sue Vandenberg, LMT's National Provider Identifier is 1699631374, issued on Dec 26, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Dec 26, 2025.