Healthcare Provider Details

I. General information

NPI: 1275462020
Provider Name (Legal Business Name): BRITTANY ANN FEIST LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 4TH AVE N STE 231
FARGO ND
58102-4790
US

IV. Provider business mailing address

670 4TH AVE N STE 231
FARGO ND
58102-4790
US

V. Phone/Fax

Practice location:
  • Phone: 701-429-0198
  • Fax: 701-429-0198
Mailing address:
  • Phone: 701-429-0198
  • Fax: 701-429-0198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1077
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: