Individual
KATIE E STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
2553 KIRSTEN LN S STE 207, FARGO, ND 58104-4901
(701) 730-3867
(701) 356-2992
Mailing address
2553 KIRSTEN LN S STE 207, FARGO, ND 58104-4901
(701) 730-3867
(701) 356-2992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1023
ND
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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