Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346724283 Individual Practitioner Female Practitioner

Devon Marie Bruckner , LMT

Massage Therapist • Dallas, OR

Professional Overview & Biography Verified Profile Summary

Devon Bruckner, LMT is a registered healthcare professional specializing in Massage Therapist in Dallas, OR. Practice services are available at 289 E ELLENDALE AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

289 E Ellendale Ave Ste 101

Dallas, OR 973381500

Telephone 5036239676
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Dallas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
19 Specialists

Practicing in Dallas, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 22789

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address September 25, 2019

Registered at 1300 NW ADAMS ST. UNIT C, MCMINNVILLE, OR 97128 (Tel: 9712375901)

👤
Provider Name / Credentials Updated September 25, 2019

Recorded as DEVON BRUCKNER, LMT

NPI Profile Active September 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2018

Registered at 289 E ELLENDALE AVE STE 101, DALLAS, OR 973381500 (Tel: 5036239676)

📍
Updated Business Mailing Address September 17, 2018

Registered at 29950 NEWSOME DR, GRAND RONDE, OR 973479412 (Tel: 9712375901)

👤
Provider Name / Credentials Updated September 17, 2018

Recorded as DEVON STACKHOUSE, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2018

Massage Therapist (License #22789 in OR)

🟢
Initial NPI Registration & Enumeration September 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346724283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2018
Last Update: September 25, 2019
Sole Proprietor: Yes

Mailing Address

1300 Nw Adams St. Unit C

Mcminnville, OR 97128

Phone: 9712375901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.