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

Mr. Moon Marcelle Bukas, LMT

Individual provider Massage Therapist · NPI 1174139588

Mr. Moon Marcelle Bukas, LMT is a Massage Therapist in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

501 NE Green Wood Ave 300
Bend, OR 97701
Phone: (541) 706-0961
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 023245 (OR)

Record details

NPI number1174139588
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 21, 2020
Last updated in NPPESFebruary 22, 2024
Certification dateSeptember 21, 2020

Other providers in Bend