IndividualActive
Leland Whitehurst, LMT, NCTMB
NPI 1104169069 · Massage Therapist · Fargo, ND
Provider details
- NPI number
- 1104169069
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, NCTMB
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1293 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1404 33rd St S
#g
Fargo, ND 58103-3482
Phone: (701) 200-2712
Approximate (ZIP-level) locationGet directions
Mailing address
1404 33rd St S
Fargo, ND 58103-3482
Registry dates
- Enumerated
- 2013-03-29
- Last updated
- 2013-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.