Individual provider · Type 1 NPI

Miranda Cathleen Larson, BCTMB, LMT

Massage Therapist · Fargo, ND

NPI number 1437460334 Active

Practice location

112 University Dr N, Ste 316
Fargo, ND 58102-4661

Call (218) 289-0276 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1539 (ND)

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 1437460334

Miranda Cathleen Larson, BCTMB, LMT's National Provider Identifier is 1437460334, issued on Jun 24, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fargo, ND. The record was last updated on Apr 25, 2017.