Individual provider · Type 1 NPI

Leland Greer Whitehurst Ii, LMT, NCTMB

Massage Therapist · Fargo, ND

NPI number 1104169069 Active

Practice location

1404 33rd St S, #G
Fargo, ND 58103-3482

Call (701) 200-2712 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1293 (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 1104169069

Leland Greer Whitehurst Ii, LMT, NCTMB's National Provider Identifier is 1104169069, issued on Mar 29, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fargo, ND. The record was last updated on Mar 29, 2013.