Whalio Doctors

NPI 1104178979

Valerie Ann Hanson, LMT

Practitioner Mechanotherapist Fargo, ND

Practice location

Address
4510 19th Ave S, Fargo, ND 58103-0802
Phone
(701) 306-5071
Mailing address
2326 20th Ave S APT 15, Fargo, ND 58103-4767

Registered specialties

Mechanotherapist Primary
Other Service Providers Taxonomy 172M00000X Licence 620 (ND)

Registry record

NPI
1104178979
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Oct 2012
Record last updated
4 Oct 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.