OrganizationActive
Massage in Central Oregon LLC
NPI 1811686454 · Massage Therapist · Sunriver, OR
Provider details
- NPI number
- 1811686454
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Stefan Dauteuil, Owner(808) 280-1776
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
57031 Ponderosa Road
Bld 27 Ste M2
Sunriver, OR 97707
Phone: (808) 280-1776
Approximate (ZIP-level) locationGet directions
Mailing address
16675 Masten Mill Dr
La Pine, OR 97739-8708
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2024-04-09
- Certified
- 2024-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.