Individual
MADISON BOETTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
61239 TETHEROW DR STE 208, BEND, OR 97702-3734
(541) 588-0525
Mailing address
16237 RIATA CT, SISTERS, OR 97759-9401
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27687
OR
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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