Individual provider · Type 1 NPI

Lisa L. Larsen, L.M.T.

Massage Therapist · Albuquerque, NM

NPI number 1134423114 Active

Practice location

2709 Wyoming Blvd NE
Albuquerque, NM 87111-4540

Call (505) 294-5486 Map

Mailing address

2403 San Mateo Blvd NE, W-16
Albuquerque, NM 87110-4058

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4655 (NM)

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 1134423114

Lisa L. Larsen, L.M.T.'s National Provider Identifier is 1134423114, issued on Jan 5, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 5, 2011.