NPI 1104129527

Lisa Marie Wourms

Practitioner Massage Therapist Fargo, ND

Practice location

Address: 1121 Westrac Dr S STE 102, Fargo, ND 58103-2385
Phone: (701) 297-8191
Mailing address: 1403 3rd Ave N, Moorhead, MN 56560-2238

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1144 (ND)

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Registry record

NPI: 1104129527
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2010
Record last updated: 4 Dec 2012

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.