IndividualActive
Katherine Petrik
NPI 1922806967 · Massage Therapist · Fargo, ND
Provider details
- NPI number
- 1922806967
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 21153 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5675 26th Ave S Ste 140
Fargo, ND 58104-8975
Phone: (701) 658-5883
Approximate (ZIP-level) locationGet directions
Mailing address
801 24th Ave S
Fargo, ND 58103-5723
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.