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NPI Code Detail

MEDICARE: LAURA SHURDEN LMT

MEDICARE:   LAURA  SHURDEN  LMT
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
1225700000XMassage Therapist25790OR

General Provider Information

NPI Number : 1922600188
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA SHURDEN LMT
Provider Business Mailing Address
First Line : 707 NW HILL ST
Second Line :
City : BEND
State : OR
Zip : 97703-2922
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 707 NW HILL ST
Second Line :
City : BEND
State : OR
Zip : 97703-2922
Country : US
Telephone Number : 970-250-9255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2020
Last Update Date : 03/09/2021

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Directions to “ LAURA SHURDEN LMT” Practice Location

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