Ivanova Aguiniga, L.M.T
Individual provider Active NPI Massage Therapist · Bend, OR
NPI 1801333802 · NPPES record last updated Jan 27, 2017
Key facts
- NPI
- 1801333802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 361 NE Franklin Ave BLDG C
Bend, OR 97701-4917 - Phone
- (541) 323-3488
- NPI assigned
- Jan 27, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
361 NE Franklin Ave BLDG C
Bend, OR 97701-4917
Mailing address
361 NE Franklin Ave BLDG C
Bend, OR 97701-4917
Phone (541) 323-3488
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.