NPI 1033415468

Tracie Lajuan Bollinger, MASSAGETHERAPIST

Practitioner Massage Therapist Mandan, ND

Practice location

Address: 509 Burlington St SE, Mandan, ND 58554-4272
Phone: (701) 224-1561
Fax: (701) 223-2319

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 644 (ND)

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Registry record

NPI: 1033415468
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2011
Record last updated: 2 Feb 2011

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.