Deitra Ann Watson
Prosthetist Massage Therapist
1011 18th St N 2b
Fargo
, North Dakota 58102-3238
Deitra Ann Watson
Prosthetist Massage Therapist
1011 18th St N 2b
Fargo
, North Dakota 58102-3238
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About
Features
Specialties
- Prosthetist
- Massage Therapist
Languages spoken
- English
Location
First Address
- Deitra Ann Watson
- 1011 18th St N 2b
- Fargo, ND
- Zip : 58102-3238
- Phone :
Second Address
- Deitra Ann Watson
- 1011 18th St N 2b
- Fargo, ND
- Zip : 58102-3238
- Phone : (701) 212-9200
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FAQs
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Is Deitra Ann Watson a sole practitioner?
Is Deitra Ann Watson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 011245235 | IL |
| N | 225700000X | Massage Therapist | 011245235 | IL |
National Provider Identifier
| NPI | 1437345402 |
|---|---|
| Provider Name | Deitra Ann Watson |
| First Address | Fargo, ND 58102-3238 |
| Second Address | Fargo, ND 58102-3238 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2007 |
| Last Update Date | 20/12/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.