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

Jennifer Rose Black, LMT

Individual provider Massage Therapist · NPI 1568102317

Jennifer Rose Black, LMT is a Massage Therapist in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

369 NE Revere Ave Ste 105
Bend, OR 97701-4082
Phone: (541) 323-3488
Fax: (541) 323-3483
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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 15011 (OR)

Record details

NPI number1568102317
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

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