Individual
MONICA SIVERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2301 15TH ST SW, MINOT, ND 58701-6933
(701) 852-5230
(701) 540-0232
Mailing address
2301 15TH ST SW, MINOT, ND 58701-6933
(701) 852-5230
(701) 540-0232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20138
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81427
—
ND
Enumeration date
06/02/2021
Last updated
06/02/2021
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