NPI 1275954539

Jessica Wald

Practitioner Massage Therapist Grand Forks, ND

Practice location

Address: 4401 S 11th St, Grand Forks, ND 58201-7238
Phone: (701) 732-7570
Mailing address: 3165 Demers Ave, Grand Forks, ND 58201-4049

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1136 (ND)

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Registry record

NPI: 1275954539
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2014
Record last updated: 3 Jan 2014

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.