Organization
ACTION DYNAMIX MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBER LEE CLARK (OWNER)
(541) 678-4212
Entity
Organization
Contact information
Practice address
701 NW ARIZONA AVE STE 200, BEND, OR 97703-3298
(541) 728-3911
Mailing address
701 NW ARIZONA AVE, BEND, OR 97703-3298
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
10629
OR
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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