Individual
MICHAEL THOMAS WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1004 NW MILWAUKEE AVE STE 200, BEND, OR 97703-2245
(541) 312-9794
Mailing address
1004 NW MILWAUKEE AVE STE 200, BEND, OR 97703-2245
(541) 312-9794
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
24206
AZ
225700000X
Massage Therapist
Primary
27935
OR
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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