OrganizationActive
Active Wellness Center LLC
NPI 1205779089 · Massage Therapist · Bend, OR
Provider details
- NPI number
- 1205779089
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mark Dejohn, Owner(541) 948-0993
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
593 Nw York Dr
Bend, OR 97703-7264
Phone: (541) 948-0993
Approximate (ZIP-level) locationGet directions
Mailing address
20714 Snow Peaks Dr
Bend, OR 97701-8027
Registry dates
- Enumerated
- 2026-04-14
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.