| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GWYNETH LOVE FOXHOVEN | 1043837818 | 2020-06-28 |
Gwyneth Love Foxhoven is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043837818. Registration indicates Gwyneth Love Foxhoven is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Gwyneth Love Foxhoven |
| Practice Office Address | 335 NE 4TH ST BEND, OR US |
| Practice Office Telephone | 5416687506 |
| Mailing Address | 63530 JOHNSON RANCH RD BEND, OR 977019329 US |
| Business Telephone | 5417490939 |
| Business Fax | 5413850318 |
| Code | Practice | License No State |
|---|---|---|
| 225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 28500
OR |