Provider Demographics
NPI:1669858627
Name:INTUITIVE TOUCH MASSGE
Entity Type:Organization
Organization Name:INTUITIVE TOUCH MASSGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KARLGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:701-899-0368
Mailing Address - Street 1:105 6TH ST N
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:MN
Mailing Address - Zip Code:56520-1514
Mailing Address - Country:US
Mailing Address - Phone:701-899-0368
Mailing Address - Fax:
Practice Address - Street 1:105 6TH ST N
Practice Address - Street 2:
Practice Address - City:BRECKENRIDGE
Practice Address - State:MN
Practice Address - Zip Code:56520-1514
Practice Address - Country:US
Practice Address - Phone:701-899-0368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1312225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty