Individual provider · Type 1 NPI

Lisa Marie Wourms

Massage Therapist · Fargo, ND

NPI number 1104129527 Active

Practice location

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

Call (701) 297-8191 Map

Mailing address

1403 3rd Ave N
Moorhead, MN 56560-2238

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1144 (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.

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About NPI 1104129527

Lisa Marie Wourms's National Provider Identifier is 1104129527, issued on Dec 7, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fargo, ND. The record was last updated on Dec 4, 2012.