Individual provider · Type 1 NPI
Carson Larsen, CMT
Massage Therapist · San Rafael, CA
NPI number
1093447807
Active
Practice location
10 Professional Center Pkwy Apt 32
San Rafael, CA 94903-2758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 86661 (CA) |
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 1093447807
Carson Larsen, CMT's National Provider Identifier is 1093447807, issued on Jun 29, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Rafael, CA. The record was last updated on Jun 29, 2022.