Individual provider · Type 1 NPI

Nichole Petersen, LMT

Massage Therapist · Fargo, ND

NPI number 1548948839 Active

Practice location

3161 43rd St S
Fargo, ND 58104-8791

Fax (701) 893-2638

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1254 (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 1548948839

Nichole Petersen, LMT's National Provider Identifier is 1548948839, issued on Jul 7, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fargo, ND. The record was last updated on Jul 7, 2023.