| Wellbody Therapeutics, Llc | |
|
2195 Ne Professional Ct Suite # 6 Bend OR 97701-6028 | |
| (541) 390-4361 | |
| (541) 322-9398 |
| Full Name | Wellbody Therapeutics, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2195 Ne Professional Ct, Bend, Oregon |
| Authorized Official Name and Position | Amy L Lafferty (OWNER, PROVIDER) |
| Authorized Official Contact | 5413904361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellbody Therapeutics, Llc 2195 Ne Professional Ct Suite # 6 Bend OR 97701-6028 Ph: (541) 390-4361 | Wellbody Therapeutics, Llc 2195 Ne Professional Ct Suite # 6 Bend OR 97701-6028 Ph: (541) 390-4361 |
| NPI Number | 1821225103 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 06/15/2009 |
| Medicare PECOS PAC ID | 6800947326 |
|---|---|
| Medicare Enrollment ID | O20090623000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821225103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 979838 (Oregon) | Primary |
| Provider Name | Amy L Lafferty |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851415921 PECOS PAC ID: 9638220155 Enrollment ID: I20090623000762 |
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