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Mr. Moon Marcelle Bukas, LMT
Massage Therapist in Bend, Oregon
NPI 1174139588

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 (Oregon).

The current practice location address for Moon Marcelle Bukas is 501 Ne Green Wood Ave, Bend, OR and can be reached out via phone at 541-706-0961.

Location: 501 Ne Green Wood Ave, Bend, OR, 97701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, Bend, OR, 97701
Phone Number
541-706-0961
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
501 Ne Green Wood Ave
City
Bend
State
Oregon
Zip
97701
Phone Number
541-706-0961
Fax Number
person
Provider Business Mailing Address Details
Address
501 Ne Green Wood Ave
City
Bend
State
Oregon
Zip
97701
Phone Number
541-706-0961
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
023245 (Oregon)
Definition
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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