NPI 1013603174

James Merle Gullekson, LMT

Practitioner Massage Therapist Fargo, ND

Practice location

Address: 4501 15th Ave S STE 104, Fargo, ND 58103-8956
Phone: (701) 446-8833

Registered specialties (3)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 22146 (ND)

Other Massage Therapist providers in North Dakota →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence R31784 (ND)

Other Registered Nurse providers in North Dakota →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 2014874 (MN)

Registry record

NPI: 1013603174
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2023
Record last updated: 12 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.