NPI 1023568466

Action Dynamix Massage, LLC

Organisation Preferred Provider Organization Bend, OR

Practice location

Address: 701 NW Arizona Ave STE 200, Bend, OR 97703-3298
Phone: (541) 728-3911
Mailing address: 701 NW Arizona Ave, Bend, OR 97703-3298

Authorised official

Name: Amber Lee Clark
Title: Owner
Phone: (541) 678-4212

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 10629 (OR)

Other Preferred Provider Organization providers in Oregon →

Registry record

NPI: 1023568466
Entity type: Organization
NPI issued: 10 Oct 2016
Record last updated: 10 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.