Individual provider · Type 1 NPI
Lauwanna R. Larue, L.M.T.
Massage Therapist · Osage Beach, MO
NPI number
1457511214
Active
Practice location
54 Hospital Dr
Osage Beach, MO 65065-3050
Mailing address
749 Mccubbins Dr
Linn Creek, MO 65052-1729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2004014743 (MO) |
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 1457511214
Lauwanna R. Larue, L.M.T.'s National Provider Identifier is 1457511214, issued on Jun 13, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Osage Beach, MO. The record was last updated on Jun 13, 2008.