LACIE KAY MALVANEY (NPI# 1194362640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194362640 |
| Entity Type | Individual |
| Full Name | LACIE KAY MALVANEY |
| Credential | LMT |
| Practice Address |
805 Sw Industrial Way Ste 8 Bend OR 97702-1093 |
| Mailing Address |
17317 Golden Eye Dr Bend OR 97707-2314 |
| Practice Telephone | 5416106057 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 24945 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 335 Ne 4th St, Bend, OR 977015162 | 5416687506 |
| Street Address |
805 SW INDUSTRIAL WAY STE 8 |
| City | BEND |
| State | OR |
| Zip Code | 97702-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417384157 | Marci Drum | Specialist | 805 Sw Industrial Way Ste 8, Bend, OR 97702-1093 | 2013-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1154938249 | Gretchen May Ramon | Massage Therapist | 61235 Fairfield Dr, Bend, OR 97702-2735 | 2020-09-23 |
| 1366057358 | Stephanie Elaine Triplett | Massage Therapist | 361 Ne Franklin Ave Unit C, Bend, OR 97701-4917 | 2020-09-15 |
| 1811507049 | Megan Brians | Massage Therapist | 3227 Nw Sawyer Trail Pl, Bend, OR 97703-7580 | 2020-08-03 |
| 1295352672 | Christine Anne Stecker | Massage Therapist | 644 Ne Seward Ave, Bend, OR 97701-3840 | 2020-07-01 |
| 1568093920 | Angelina Renae Mccoy | Massage Therapist | 345 Ne Greenwood Ave, Bend, OR 97701-4605 | 2020-02-03 |
| 1780215467 | Mary Major Moore | Massage Therapist | 335 Ne 4th St # Dt, Bend, OR 97701-5162 | 2020-01-30 |
| 1871139204 | Lucca Brown | Massage Therapist | 60848 Taralon Pl, Bend, OR 97702-2977 | 2019-11-20 |
| 1841835790 | Raimundo Martene Moreno | Massage Therapist | 2146 Ne 4th St Ste 140, Bend, OR 97701-3647 | 2019-11-14 |
| 1811531403 | Roemona Rowden | Massage Therapist | 424 Ne Franklin Ave Ste Unit, Bend, OR 97701-4919 | 2019-11-06 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.