Organization
EARTH BODY MASSAGE
Active
Other names
Earth Body Massage, Fade Out Tattoo Removal LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN ELSTON LMT (OWNER)
(541) 480-7845
Entity
Organization
Contact information
Practice address
447 NE GREENWOOD AVE, BEND, OR 97701-4607
(541) 213-0933
Mailing address
19657 HILLER DR, BEND, OR 97702-9028
(541) 480-7845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
07/19/2023
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