IndividualActive
Nicole Guerra Willingham, LMT
NPI 1043047095 · Massage Therapist · Bend, OR
Provider details
- NPI number
- 1043047095
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 27761 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
929 Sw Simpson Ave Ste 150
Bend, OR 97702-3599
Phone: (458) 202-1066
Fax: (866) 728-1099
Street-level locationGet directions
Mailing address
1238 Sw Silver Lake Blvd
Bend, OR 97702-2236
Registry dates
- Enumerated
- 2024-09-16
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.