Individual
KATHERINE THERESA PETRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5675 26TH AVE S STE 140, FARGO, ND 58104-8975
(701) 658-5883
Mailing address
801 24TH AVE S, FARGO, ND 58103-5723
(218) 415-1304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21153
ND
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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