Lacie Kay Malvaney, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24945 Issued in OR

Practice address

805 SW Industrial Way Ste 8
Bend, OR 97702-1093

Phone

(541) 610-6057

NPI assigned

Dec 3, 2019

Last updated

Dec 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Team Ward LLC

  dba Bodywork of Bend

  • Massage Therapist
  • Bend, OR
  • NPI 1437862976
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1194362640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17317 GOLDEN EYE DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977072314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SW INDUSTRIAL WAY STE 8",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021093",
            "telephone_number": "541-610-6057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 NE 4th St",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977015162",
            "country_code": "US",
            "telephone_number": "541-668-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALVANEY",
        "first_name": "LACIE",
        "middle_name": "KAY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Bryan Malone, P.T.
• Kathleen Malone, M.S. CCC-SLP
• Timothy Patrick Malone, LCSW
• Nancy Maloney, M.D.
• Jennifer Lee Malter-Barrows, M.A.
• Marisa Malzone, CNS
• Mandala Midwifery LLC
• Kellen Franklyn Mandehr, DO
• Kris Annette Mandel
• Mary Manfredi, MD

• Massage Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.