Organization
ELITE THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE M HAGEN LMT (OWNER/OPERATOR)
(701) 297-8191
Entity
Organization
Contact information
Practice address
1121 WESTRAC DR S STE 102, FARGO, ND 58103-2385
(701) 297-8191
Mailing address
1121 WESTRAC DR S STE 102, FARGO, ND 58103-2385
(701) 297-8191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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