Laken Elaine Bussard, | |
447 Ne Greenwood Ave, Bend, OR 97701-4607 | |
(541) 213-0933 | |
Not Available |
Full Name | Laken Elaine Bussard |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 447 Ne Greenwood Ave, Bend, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588380539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 27111 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Laken Elaine Bussard, 20894 Nova Loop Unit 1, Bend, OR 97701-4080 Ph: (614) 813-3842 | Laken Elaine Bussard, 447 Ne Greenwood Ave, Bend, OR 97701-4607 Ph: (541) 213-0933 |
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