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MRS. DEVON MARIE BRUCKNER LMT
NPI 1346724283
Massage Therapist in Dallas, OR

Active since September 17, 2018
289 E ELLENDALE AVE STE 101, DALLAS, OR 97338(503) 623-9676 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2019, Sep 17, 2018 (2 updates tracked since 2018).

About Mrs. Devon Marie Bruckner Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEVON MARIE BRUCKNER LMT (NPI 1346724283) is an individual massage therapist in Dallas, Oregon, licensed in Oregon (22789) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1346724283
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. DEVON MARIE BRUCKNERCredential: LMT
Location Address289 E ELLENDALE AVE STE 101Dallas, OR 97338-1500
Mailing Address1300 Nw Adams St. Unit CMcminnville, OR 97128 · (971) 237-5901
Phone(503) 623-9676
Sole ProprietorYes
Enumeration DateSeptember 17, 2018
Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration
✔ NPI 1346724283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 22789
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
289 E ELLENDALE AVE STE 101, Dallas, OR 97338
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Other Names 1

Former Name (1)Devon Stackhouse

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devon Bruckner's NPI number?

The NPI number for Devon Bruckner is 1346724283. It was assigned to this individual provider in the NPPES registry on September 17, 2018. The provider is also known as Devon Stackhouse.

Where is Devon Bruckner located?

Devon Bruckner practices at 289 E Ellendale Ave Ste 101, Dallas, OR 97338. The listed phone number is (503) 623-9676.

What is Devon Bruckner's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Devon Bruckner was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.