Individual provider · Type 1 NPI
Kelly Larson, MASSAGE THERAPIST
Massage Therapist · Wenatchee, WA
NPI number
1124442595
Active
Practice location
11 Spokane St Ste 202
Wenatchee, WA 98801-6132
Fax (509) 888-8001
Mailing address
217 E Nixon Ave
Chelan, WA 98816-8649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60022016 (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 1124442595
Kelly Larson, MASSAGE THERAPIST's National Provider Identifier is 1124442595, issued on Feb 6, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wenatchee, WA. The record was last updated on Feb 6, 2014.