Individual provider · Type 1 NPI

Mikayla Gauthier, LMT

Massage Therapist · Bend, OR

NPI number 1790651271 Active

Practice location

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

Fax (541) 389-4420

Mailing address

17148 Helbrock Dr
Bend, OR 97707-2508

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X29040 (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 1790651271

Mikayla Gauthier, LMT's National Provider Identifier is 1790651271, issued on Oct 13, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Oct 13, 2025.