Individual provider · Type 1 NPI
Larissa Kidd, LMT
Massage Therapist · Paragould, AR
NPI number
1235915364
Active
Practice location
517 N 14th St Ste 2
Paragould, AR 72450-3550
Mailing address
92 Greene 712 Rd
Paragould, AR 72450-8269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 4884 (AR) |
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 1235915364
Larissa Kidd, LMT's National Provider Identifier is 1235915364, issued on Sep 5, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Paragould, AR. The record was last updated on Sep 5, 2023.