Individual provider · Type 1 NPI

Stacey Michelle Larson, LMP

Massage Therapist · Puyallup, WA

NPI number 1124285507 Active

Practice location

15412 Meridian E
Puyallup, WA 98375-9514

Call (253) 273-0177 Map

Mailing address

13505 111th Street Ct E
Puyallup, WA 98374-2490

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00024472 (WA)

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 1124285507

Stacey Michelle Larson, LMP's National Provider Identifier is 1124285507, issued on May 21, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Puyallup, WA. The record was last updated on May 21, 2008.