Individual provider · Type 1 NPI

Lara K. Henderson, LMT, CLT

Massage Therapist · Longmont, CO

NPI number 1417161902 Active

Practice location

600 S Airport Rd
Longmont, CO 80503-6424

Mailing address

3720 Staghorn Dr
Longmont, CO 80503-7594

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0001720 (CO)

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 1417161902

Lara K. Henderson, LMT, CLT's National Provider Identifier is 1417161902, issued on May 10, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longmont, CO. The record was last updated on Jun 16, 2023.