Individual
MR. HERMAN KESTERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
2215 E MAIN AVE, BISMARCK, ND 58501-4900
(701) 222-3289
Mailing address
2215 E MAIN AVE, BISMARCK, ND 58501-4900
(701) 222-3289
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
105
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105
MASSAGE THERAPIST
ND
Enumeration date
08/12/2013
Last updated
08/12/2013
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