Doctor Name: | KATIE E STOCK |
NPI Number: | 1689096125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T |
License Number: | 1023 |
Business Practice Address: | 2553 Kirsten Ln S Ste 207 Fargo, ND - 581044901 |
Business Phone Number: | 7017303867 |
Business Fax Number: | 7013562992 |
Mailing Address: | 2553 Kirsten Ln S Ste 207, FARGO |
State: | ND |
Postal Code: | 581044901 |
Phone Number: | 7017303867 |
Fax Number: | 7013562992 |
NPI Enumeration Date: | 01/17/2014 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 1023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |