OrganizationActive
Elite Therapeutic Massage LLC
NPI 1700611571 · Massage Therapist · Fargo, ND
Provider details
- NPI number
- 1700611571
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Rochelle Hagen, Owner/Operator(701) 297-8191
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1121 Westrac Dr S Ste 102
Fargo, ND 58103-2385
Phone: (701) 297-8191
Approximate (ZIP-level) locationGet directions
Mailing address
1121 Westrac Dr S Ste 102
Fargo, ND 58103-2385
Registry dates
- Enumerated
- 2024-09-03
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.