OrganizationActive
Bend Sovereign Wellness LLC
NPI 1679392641 · Massage Therapist · Bend, OR
Provider details
- NPI number
- 1679392641
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Savanah Imus, Owner(541) 326-8890
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
2330 Ne Division St Ste 8
Bend, OR 97703-3570
Phone: (541) 728-0932
Street-level locationGet directions
Mailing address
2330 Ne Division St Ste 8
Bend, OR 97703-3570
Other names (DBA / former)
- Doing business as
- Bend Sovereign Wellness
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.