ACTIVE LIFE THERAPEUTIC MASSAGE (NPI# 1699208629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699208629 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE THERAPEUTIC MASSAGE |
| Practice Address |
325 Nw Vermont St Suite 101 Bend OR 97703-1916 |
| Practice Telephone | 5414801427 |
| Practice Fax Number | 5418330763 |
| Mailing Telephone | 5414801427 |
| Mailing Fax Number | 5418330763 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | STEPHANIE WEHRHAN (OWNER) |
| Authorized Official Telephone | 5414801427 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ACTIVE LIFE THERAPEUTIC MASSAGE | 325 Nw Vermont St, Ste 101, Bend, OR 97703 |
| Street Address |
325 NW VERMONT ST SUITE 101 |
| City | BEND |
| State | OR |
| Zip Code | 97703-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073921722 | Aaron Alexander | Health Educator | 325 Nw Vermont St, Bend, OR 97701-1916 | 2014-07-25 |
| 1629442298 | Erika Beard Irvine Md LLC | Pediatrics | 325 Nw Vermont St, Suite 105, Bend, OR 97703-1916 | 2015-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1154938249 | Gretchen May Ramon | Massage Therapist | 61235 Fairfield Dr, Bend, OR 97702-2735 | 2020-09-23 |
| 1366057358 | Stephanie Elaine Triplett | Massage Therapist | 361 Ne Franklin Ave Unit C, Bend, OR 97701-4917 | 2020-09-15 |
| 1811507049 | Megan Brians | Massage Therapist | 3227 Nw Sawyer Trail Pl, Bend, OR 97703-7580 | 2020-08-03 |
| 1295352672 | Christine Anne Stecker | Massage Therapist | 644 Ne Seward Ave, Bend, OR 97701-3840 | 2020-07-01 |
| 1568093920 | Angelina Renae Mccoy | Massage Therapist | 345 Ne Greenwood Ave, Bend, OR 97701-4605 | 2020-02-03 |
| 1780215467 | Mary Major Moore | Massage Therapist | 335 Ne 4th St # Dt, Bend, OR 97701-5162 | 2020-01-30 |
| 1871139204 | Lucca Brown | Massage Therapist | 60848 Taralon Pl, Bend, OR 97702-2977 | 2019-11-20 |
| 1841835790 | Raimundo Martene Moreno | Massage Therapist | 2146 Ne 4th St Ste 140, Bend, OR 97701-3647 | 2019-11-14 |
| 1811531403 | Roemona Rowden | Massage Therapist | 424 Ne Franklin Ave Ste Unit, Bend, OR 97701-4919 | 2019-11-06 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.