NPI 1649607763

Will W Bayne, LMT

Practitioner Massage Therapist Grand Forks, ND

Practice location

Address: 4401 S 11th St, Grand Forks, ND 58201-7238
Phone: (701) 732-7570

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 758 (ND)

Other Massage Therapist providers in North Dakota →

Registry record

NPI: 1649607763
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2013
Record last updated: 3 Oct 2013

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.