Organization
BEND SOVEREIGN WELLNESS LLC
Active
Other names
Bend Sovereign Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANAH IMUS LMT (OWNER)
(541) 326-8890
Entity
Organization
Contact information
Practice address
2330 NE DIVISION ST STE 8, BEND, OR 97703-3570
(541) 728-0932
Mailing address
2330 NE DIVISION ST STE 8, BEND, OR 97703-3570
(541) 728-0932
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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