# SANCTUARY MASSAGE THERAPY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356600209
- **Authorized official:** MR. JOHN MERCER (FOUNDER AND CEO)
- **Authorized official phone:** (701) 429-7992

## Contact information

- **Practice address:** 3820 12TH AVE N, FARGO, ND 58102-2950
- **Practice address phone:** (701) 429-7992
- **Mailing address:** 1051 1ST ST E APT 111, WEST FARGO, ND 58078-3038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175L00000X | Homeopath | — | NULL | Yes |
| 175L00000X | Homeopath | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 05/14/2012