SANCTUARY MASSAGE THERAPY INC. (NPI# 1356600209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356600209 |
| Entity Type | Organization |
| Organization Name | SANCTUARY MASSAGE THERAPY INC. |
| Practice Address |
3820 12th Ave N Fargo ND 58102-2950 |
| Mailing Address |
1051 1st St E Apt 111 West Fargo ND 58078-3038 |
| Practice Telephone | 7014297992 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | MR. JOHN MERCER (FOUNDER AND CEO) |
| Authorized Official Telephone | 7014297992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175L00000X | Homeopath | Other Service Providers |
| Street Address |
3820 12TH AVE N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 175L00000X |
| Grouping | Other Service Providers |
| Classification | Homeopath |
| A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 26th edition. Philadelphia: W.B. Saunders Company, 1981. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326329442 | Malynda C Coleman | Homeopath | 801 W Interstate Ave, Bismarck, ND 58503-0973 | 2011-09-01 |
| 1063763563 | Lacey Campbell | Homeopath | 801 W Interstate Ave, Bismarck, ND 58503-0973 | 2012-09-24 |
Please comment or provide details below to improve the information on SANCTUARY MASSAGE THERAPY INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.