Individual provider · Type 1 NPI

Amy Jeannine Larsen, LMT

Massage Therapist · Coos Bay, OR

NPI number 1093043671 Active

Practice location

632 Anderson Ave
Coos Bay, OR 97420-1632

Call (541) 260-1773 Map

Mailing address

57205 Gladewood Rd
Coquille, OR 97423-8512

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7503 (OR)

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.

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About NPI 1093043671

Amy Jeannine Larsen, LMT's National Provider Identifier is 1093043671, issued on Nov 19, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coos Bay, OR. The record was last updated on Nov 19, 2009.