MEDICARE: WENDY MORGAN LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	1520	ND

General Provider Information

NPI Number	:	1174473177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY MORGAN LMT

Provider Business Mailing Address
First Line	:	125 1ST AVE
Second Line	:
City	:	CHAFFEE
State	:	ND
Zip	:	58079-4313
Country	:	US
Telephone Number	:	701-269-2982
Fax Number	:

Provider Business Practice Location Address
First Line	:	3217 FIECHTNER DR S STE A2
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58103-8735
Country	:	US
Telephone Number	:	701-269-2982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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