Individual provider · Type 1 NPI

Larry Wayne Robertson, LICENSED MASSAGE

Massage Therapist · Longview, TX

NPI number 1720868581 Active

Practice location

116 E South St
Longview, TX 75601-7437

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT037344 (TX)

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 1720868581

Larry Wayne Robertson, LICENSED MASSAGE's National Provider Identifier is 1720868581, issued on Sep 29, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longview, TX. The record was last updated on Sep 29, 2023.