- Practice location
- 501 NE Green Wood Ave, 300, Bend, OR 97701
- Phone
- 541-706-0961
- Fax
- —
- Last updated
- February 22, 2024
Moon Marcelle Bukas is a Massage Therapist based in Bend, OR. Moon Marcelle Bukas practices in Bend, OR and has the professional credentials of LMT. The NPI Number for Moon Marcelle Bukas is 1174139588 and holds a License No. 023245 (OR). The current practice location address for Moon Marcelle Bukas is 501 NE Green Wood Ave, 300, Bend, OR 97701 and can be reached out via phone at 541-706-0961.
Provider Profile Details
- NPI Number
- 1174139588
- Provider Name
- Moon Marcelle Bukas
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 501 NE Green Wood Ave, 300, Bend, OR 97701
- Phone Number
- 541-706-0961
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 21, 2020
- Last Update Date
- February 22, 2024
- Certification Date
- September 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 501 NE Green Wood Ave
300
Bend, OR 97701 - City
- Bend
- State
- Oregon
- Zip
- 97701
- Phone Number
- 541-706-0961
Provider Business Mailing Address Details
- Address
- 501 NE Greenwood Ave #300
Bend, OR 97701 - City
- Bend
- State
- OR
- Zip
- 97701
- Phone Number
- 541-706-0961
License Information
- License Number
- 023245
- License State
- OR
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Massage Therapists near Bend, OR
View all Massage Therapists in Bend →- Active Life Therapeutic MassageMassage Therapist · NPI 1699208629
- Active Wellness Center LLCMassage Therapist · NPI 1205779089
- Amber D Carroll, MTMassage Therapist · NPI 1295418804
- Amber N Barney, LMTMassage Therapist · NPI 1427781251
- Andrea M Andrus, LMTMassage Therapist · NPI 1174817647
- Ashley M BarrettMassage Therapist · NPI 1265138390
Frequently Asked Questions
What is the NPI number of Mr. Moon M Bukas, LMT?
The NPI number of Mr. Moon M Bukas, LMT is 1174139588. It was assigned on September 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Mr. Moon M Bukas, LMT?
Mr. Moon M Bukas, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 023245.
Where does Mr. Moon M Bukas, LMT practice?
The practice location is 501 NE Green Wood Ave, 300, Bend, OR 97701. The office can be reached at 541-706-0961 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174139588 directly on the NPPES registry website.