Individual provider · Type 1 NPI
Deann Marie Larson, C.M.T.
Massage Therapist · Wayzata, MN
NPI number
1104041938
Active
Practice location
1133 Wayzata Blvd E
Wayzata, MN 55391-1941
Mailing address
1133 E Wayzata Blvd
Wayzata, MN 55391
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.
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About NPI 1104041938
Deann Marie Larson, C.M.T.'s National Provider Identifier is 1104041938, issued on Apr 16, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wayzata, MN. The record was last updated on Oct 4, 2007.