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Organization
TEAM WARD LLC
Active
Organization
TEAM WARD LLC
Active
Other names
Bodywork of Bend
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY D WARD LMT (OWNER)
(541) 598-5592
Entity
Organization
Contact information
Practice address
335 NE 4TH ST, BEND, OR 97701-5162
(541) 668-7506
(541) 550-8541
Mailing address
335 NE 4TH ST, BEND, OR 97701-5162
(541) 668-7506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-562938
SECRETARY OF STATE
OR
Enumeration date
12/29/2022
Last updated
12/29/2022
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