MEDICARE: KIRSTEN OPIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	21115	OR

General Provider Information

NPI Number	:	1710412911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN OPIE

Provider Business Mailing Address
First Line	:	19724 NUGGET AVE
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-9703
Country	:	US
Telephone Number	:	541-815-4346
Fax Number	:

Provider Business Practice Location Address
First Line	:	61396 S HWY 97 STE 203
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-2159
Country	:	US
Telephone Number	:	541-815-4346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	02/28/2025

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Directions to “ KIRSTEN OPIE ” Practice Location

Language	Start Address	Practice Location

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