| Elemental Wellness Therapy | |
|
63368 Saddleback Dr Bend OR 97703-8566 | |
| (541) 390-1493 | |
| Not Available |
| Full Name | Elemental Wellness Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 63368 Saddleback Dr, Bend, Oregon |
| Authorized Official Name and Position | Tania Kneuer (OWNER) |
| Authorized Official Contact | 5413901493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Wellness Therapy 63368 Saddleback Dr Bend OR 97703-8566 Ph: (541) 390-1493 | Elemental Wellness Therapy 63368 Saddleback Dr Bend OR 97703-8566 Ph: (541) 390-1493 |
| NPI Number | 1235991878 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235991878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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