Katharine Pentz
Massage Therapist in Bend, OR. Individual provider (NPI-1).
NPI number1326499005
StatusActive
Last updated in NPPESJun 24, 2016
Details
- NPI
- 1326499005
- Entity type
- Individual (NPI-1)
- Name
- Katharine Pentz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2016
- Last updated
- Jun 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 14957 | OR | Yes |
Practice location
550 Nw 12th StBend, OR 97703-3048
Phone 541-420-2673
Mailing address
125 Nw Delaware AveBend, OR 97703-2969
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