Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellyn Sue Vandenberg, LMT

Individual provider Massage Therapist · NPI 1699631374

Ellyn Sue Vandenberg, LMT is a Massage Therapist in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2955 N Hwy 97
Bend, OR 97703-7559
Phone: (541) 728-3004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 5129 (OR)

Record details

NPI number1699631374
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedDecember 26, 2025
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025

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