Individual provider · Type 1 NPI
Kalie Ann Larson, L.M.T.
Specialist · Provo, UT
NPI number
1427306752
Active
Practice location
370 S 200 E, Bsmt
Provo, UT 84606-4608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 8334450-4701 (UT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1427306752
Kalie Ann Larson, L.M.T.'s National Provider Identifier is 1427306752, issued on Aug 16, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Provo, UT. The record was last updated on Aug 16, 2012.