Individual provider · Type 1 NPI

Jessica Larsen, LMT

Massage Therapist · Corvallis, OR

NPI number 1104416197 Active

Practice location

2405 SE Crystal Lake Dr
Corvallis, OR 97333-2014

Call (917) 679-7296 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23819 (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 1104416197

Jessica Larsen, LMT's National Provider Identifier is 1104416197, issued on Jan 22, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Corvallis, OR. The record was last updated on Jan 10, 2022.