- Practice location
- 2330 NE Division St Ste 8, Bend, OR 97703-3570
- Phone
- 541-728-0932
- Fax
- —
- Last updated
- October 7, 2024
Bend Sovereign Wellness LLC is a healthcare organization based in Bend, OR. Bend Sovereign Wellness LLC practices in Bend, OR. The NPI Number for Bend Sovereign Wellness LLC is 1679392641. The current practice location address for Bend Sovereign Wellness LLC is 2330 NE Division St Ste 8, Bend, OR 97703-3570 and can be reached out via phone at 541-728-0932.
Provider Profile Details
- NPI Number
- 1679392641
- Provider Name
- Bend Sovereign Wellness LLC
- Provider Entity Type
- Organization
- Address
- 2330 NE Division St Ste 8, Bend, OR 97703-3570
- Phone Number
- 541-728-0932
- Primary Taxonomy
- Massage Therapist · 225700000X
- Organization Subpart
- No
- Authorized Official
- Savanah Imus, LMT · Owner · 541-326-8890
- Other Names
- Bend Sovereign Wellness (Doing Business As)
- Provider Enumeration Date
- October 7, 2024
- Last Update Date
- October 7, 2024
- Certification Date
- October 7, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2330 NE Division St Ste 8
Bend, OR 97703-3570 - City
- Bend
- State
- Oregon
- Zip
- 97703-3570
- Phone Number
- 541-728-0932
Provider Business Mailing Address Details
- Address
- 2330 NE Division St Ste 8
Bend, OR 97703-3570 - City
- Bend
- State
- OR
- Zip
- 97703-3570
- Phone Number
- 541-728-0932
License Information
- 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. | |||
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- Amber D Carroll, MTMassage Therapist · NPI 1295418804
- Amber N Barney, LMTMassage Therapist · NPI 1427781251
- Andrea M Andrus, LMTMassage Therapist · NPI 1174817647
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Frequently Asked Questions
What is the NPI number of Bend Sovereign Wellness LLC?
The NPI number of Bend Sovereign Wellness LLC is 1679392641. It was assigned on October 7, 2024 and is currently active in the NPPES registry.
What is the specialty of Bend Sovereign Wellness LLC?
Bend Sovereign Wellness LLC is registered under the primary taxonomy Massage Therapist (code 225700000X).
Where does Bend Sovereign Wellness LLC practice?
The practice location is 2330 NE Division St Ste 8, Bend, OR 97703-3570. The office can be reached at 541-728-0932 (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 1679392641 directly on the NPPES registry website.