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Contact Information

INNERGIZED MOVEMENT MASSAGE
21045 BAYOU DR
BEND, OR97702-2437
 Phone: 541-771-2490
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for INNERGIZED MOVEMENT MASSAGE

NPI Number 1386004208
LBN Legal business name INNERGIZED MOVEMENT MASSAGE
Authorized official CRYSTAL OLSON - (OWNER/OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2016
Last updated 03/04/2016 - About 10 years ago
Identifiers
OR License # 20452
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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