Organization
BALANCE THERAPEUTIC BODYWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE JESPERSEN LMT (OWNER)
(541) 419-3343
Entity
Organization
Contact information
Practice address
155 SW CENTURY DR STE 104, BEND, OR 97702-1657
(541) 419-3343
Mailing address
155 SW CENTURY DR STE 104, BEND, OR 97702-1657
(541) 419-3343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19480
OR
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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