Individual provider · Type 1 NPI
Larry Tackett
Massage Therapist · Mill Valley, CA
NPI number
1053886291
Active
Practice location
316 Miller Ave Ste F
Mill Valley, CA 94941-2887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Another provider at this address
Other massage therapist providers in Mill Valley
About NPI 1053886291
Larry Tackett's National Provider Identifier is 1053886291, issued on Oct 3, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mill Valley, CA. The record was last updated on Oct 3, 2018.