Most Relevant Information
Provider Data
| NPI Number: | 1003522442 |
| Provider Name: | MAGGIE C LEWIS LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 26445 |
Most Important Dates
| Enumeration Date: | 01/30/2023 |
| Last Updated: | 02/15/2023 |
Provider Practice Location
2542 NE COURTNEY DR
BEND
OR
977017685
Practice Location Phone/Fax
| Phone: | 5038809355 |
| Fax: |
Provider Mailing Location
16682 WYATT DR
LA PINE
OR
977397804
Provider Mailing Phone/Fax
| Phone: | 5038809355 |
| Fax: |