Individual provider · Type 1 NPI
James Merle Gullekson, LMT
Massage Therapist · Fargo, ND
NPI number
1013603174
Active
Practice location
4501 15th Ave S Ste 104
Fargo, ND 58103-8956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R31784 (ND) |
| Registered Nurse | 163W00000X | 2014874 (MN) |
| Massage Therapist Primary | 225700000X | 22146 (ND) |
Massage Therapist: 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.
5 other providers at this address
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About NPI 1013603174
James Merle Gullekson, LMT's National Provider Identifier is 1013603174, issued on Apr 12, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fargo, ND. The record was last updated on Apr 12, 2023.