Individual provider · Type 1 NPI

Stephanie Wilson, LMT

Massage Therapist · Fargo, ND

NPI number 1497143317 Active

Practice location

1790 32 Nd Ave South Suite 1A
Fargo, ND 58104

Call (701) 492-3003 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X376 (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 1497143317

Stephanie Wilson, LMT's National Provider Identifier is 1497143317, issued on Dec 30, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fargo, ND. The record was last updated on Dec 30, 2014.