Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Myofascial Release by Katie

Organization Physical Therapist · NPI 1487255295

Myofascial Release by Katie is a Physical Therapist in Fargo, North Dakota. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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Practice location Address checks out

3441 45th St S
Fargo, ND 58104-8970
Phone: (701) 660-5104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Ergonomics Physical Therapist Taxonomy 2251E1200X
Pediatric Physical Therapist Taxonomy 2251P0200X
Sports Physical Therapist Taxonomy 2251S0007X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1487255295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie Bradshaw — Ceo/Owner · (612) 432-5305
NPI enumeratedNovember 6, 2020
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020
Mailing address2406 14th St W, West Fargo, ND 58078-8441

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