Timothy B Bisby
Massage Therapist in Bend, OR. Individual provider (NPI-1).
NPI number1982256863
StatusActive
Last updated in NPPESJul 11, 2019
Details
- NPI
- 1982256863
- Entity type
- Individual (NPI-1)
- Name
- Timothy B Bisby
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2019
- Last updated
- Jul 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | OR | Yes |
Practice location
55 Nw Wall St Ste 100Bend, OR 97703-3200
Phone 541-389-4321 · Fax 541-389-4420
Mailing address
55 Nw Wall St Ste 100Bend, OR 97703-3200
Phone 541-389-4321 · Fax 541-389-4420
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