NPI 1174117238

Jerry Wendel Daub

Practitioner Massage Therapist Fargo, ND

Practice location

Address: 1326 25th St S, Fargo, ND 58103-3629
Phone: (701) 371-2225

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 480 (ND)

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Registry record

NPI: 1174117238
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2021
Record last updated: 1 Mar 2021

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.