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Organization
TAPROOT REVIVAL, LLC
Active
Organization
TAPROOT REVIVAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE NEUZIL LMT (OWNER)
(319) 929-6414
Entity
Organization
Contact information
Practice address
707 NW HILL ST, BEND, OR 97703-2922
(319) 929-6414
Mailing address
1404 NW ITHACA AVE, BEND, OR 97703-2114
(319) 929-6414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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