Individual provider · Type 1 NPI

Mark Wayne Larson, MT

Massage Therapist · Ooltewah, TN

NPI number 1265876056 Active

Practice location

10093 Sunny Ln
Ooltewah, TN 37363-8487

Call (423) 838-8906 Map

Mailing address

PO Box 1505, 10093 Sunny Lane
Collegedale, TN 37315-1505

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9061 (TN)

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 1265876056

Mark Wayne Larson, MT's National Provider Identifier is 1265876056, issued on Apr 23, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ooltewah, TN. The record was last updated on Apr 23, 2013.