Active NPIIndividual providerSole proprietor

Amber D Carroll, MT

Massage Therapist in Bend, Oregon

NPI Number1295418804
Practice location
1554 NE 4TH St Ste 3, Bend, OR 97701-4240
Fax
—
Last updated
August 9, 2023

Amber D Carroll, MT is a Massage Therapist based in Bend, OR. Amber D Carroll, MT holds the professional credentials of MT. The NPI number for Amber D Carroll, MT is 1295418804 and holds license No. 26974 (OR). The current practice location address is 1554 NE 4TH St Ste 3, Bend, OR 97701-4240 and the office can be reached by phone at 541-419-2390. The NPI was assigned on August 9, 2023 and the record was last updated in NPPES on August 9, 2023.

●Provider Profile Details

NPI Number
1295418804
Provider Name
Amber Dawn Carroll
Credential
MT
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Enumeration Date
August 9, 2023
Last Update Date
August 9, 2023
Certification Date
August 9, 2023
NPI Status
Active

◉Business Practice Location Address

Address
1554 NE 4TH St Ste 3
Bend, OR 97701-4240
City
Bend
State
Oregon
ZIP
97701-4240
Country
US
Phone Number
541-419-2390

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✉Business Mailing Address

Address
Po Box 2211
Redmond, OR 97756-0540
City
Redmond
State
OR
ZIP
97756-0540
Phone Number
541-419-2390

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Massage Therapist225700000XYes26974OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Amber D Carroll, MT?

The NPI number of Amber D Carroll, MT is 1295418804. It was assigned on August 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Amber D Carroll, MT?

Amber D Carroll, MT is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 26974 (OR).

Where does Amber D Carroll, MT practice?

The practice location is 1554 NE 4TH St Ste 3, Bend, OR 97701-4240. The office can be reached at 541-419-2390 (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 1295418804 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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