Individual provider · Type 1 NPI

Larissa Jae Taylor, LMT

Massage Therapist · Mesa, AZ

NPI number 1154150415 Active

Practice location

4111 E Valley Auto Dr Ste 209
Mesa, AZ 85206-4609

Call (480) 401-7495 Map

Mailing address

1511 E Moon Vista St
Apache Junction, AZ 85119-9632

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-24487 (AZ)

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 1154150415

Larissa Jae Taylor, LMT's National Provider Identifier is 1154150415, issued on Jul 26, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 26, 2024.