IndividualActive
Nichole Petersen, LMT
NPI 1548948839 · Massage Therapist · Fargo, ND
Provider details
- NPI number
- 1548948839
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 1254 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3161 43rd St S
Fargo, ND 58104-8791
Phone: (701) 893-2639
Fax: (701) 893-2638
Approximate (ZIP-level) locationGet directions
Mailing address
3161 43rd St S
Fargo, ND 58104-8791
Registry dates
- Enumerated
- 2023-07-07
- Last updated
- 2023-07-07
- Certified
- 2023-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.