# WELLBODY THERAPEUTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821225103
- **Authorized official:** MS. AMY L LAFFERTY MS, OTR/L (OWNER, PROVIDER)
- **Authorized official phone:** (541) 390-4361

## Contact information

- **Practice address:** 2195 NE PROFESSIONAL CT, SUITE \# 6, BEND, OR 97701-6028
- **Practice address phone:** (541) 390-4361
- **Practice address fax:** (541) 322-9398
- **Mailing address:** 2195 NE PROFESSIONAL CT, SUITE \# 6, BEND, OR 97701-6028
- **Mailing address phone:** (541) 390-4361
- **Mailing address fax:** (541) 322-9398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 979838 | OR | Yes |

## Other

- **Enumeration date:** 06/15/2009
- **Last updated:** 06/15/2009