Provider Demographics
NPI:1538975370
Name:HOLISTIC BLISS THERAPY LLC
Entity type:Organization
Organization Name:HOLISTIC BLISS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:701-640-1478
Mailing Address - Street 1:4141 31ST AVE S STE 104
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8778
Mailing Address - Country:US
Mailing Address - Phone:701-353-1488
Mailing Address - Fax:213-867-2798
Practice Address - Street 1:4141 31ST AVE S STE 104
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8778
Practice Address - Country:US
Practice Address - Phone:701-353-1488
Practice Address - Fax:213-867-2798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty