Individual provider · Type 1 NPI
Katherine Theresa Petrik
Massage Therapist · Fargo, ND
NPI number
1922806967
Active
Practice location
5675 26th Ave S Ste 140
Fargo, ND 58104-8975
Mailing address
801 24th Ave S
Fargo, ND 58103-5723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 21153 (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 1922806967
Katherine Theresa Petrik's National Provider Identifier is 1922806967, issued on Mar 5, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fargo, ND. The record was last updated on Mar 5, 2025.