Organization
ACTIVE LIFE THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WEHRHAN LMT (OWNER)
(541) 480-1427
Entity
Organization
Contact information
Practice address
325 NW VERMONT ST, SUITE 101, BEND, OR 97703-1916
(541) 480-1427
(541) 833-0763
Mailing address
325 NW VERMONT ST, SUITE 101, BEND, OR 97703-1916
(541) 480-1427
(541) 833-0763
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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