MR. Leland Greer Whitehurst II, LMT, NCTMB

NPI #1104169069 in Fargo, North Dakota

Provider Information

NPI Number
1104169069
Entity Type
Individual
Name
MR. Leland Greer Whitehurst II, LMT, NCTMB
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT, NCTMB
Enumeration Date
Mar 29, 2013
Last Updated
Mar 29, 2013

Practice Location

Address
1404 33RD ST S
Address 2
#G
City
Fargo
ZIP Code
58103-3482
Phone
(701) 200-2712

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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