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Elite Therapeutic Massage LLC

Massage Therapist in Fargo, ND. Organization (NPI-2).

NPI number1700611571
StatusActive
Last updated in NPPESSep 3, 2024

Details

NPI
1700611571
Entity type
Organization (NPI-2)
Legal business name
Elite Therapeutic Massage LLC
Organization subpart
No
Enumeration date
Sep 3, 2024
Certification date
Sep 3, 2024
Last updated
Sep 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes

Practice location

1121 Westrac Dr S Ste 102
Fargo, ND 58103-2385

Phone 701-297-8191

Mailing address

1121 Westrac Dr S Ste 102
Fargo, ND 58103-2385

Phone 701-297-8191

Authorized official

Rochelle M Hagen
Owner/Operator
7012978191

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