Individual provider · Type 1 NPI

Gregory Thomas Larson, LMT

Massage Therapist · Moscow, ID

NPI number 1790974764 Active

Practice location

207 S Washington St Ste 202
Moscow, ID 83843-2843

Call (208) 835-9108 Map

Mailing address

3971 Darby Rd
Moscow, ID 83843-9192

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6581724 (ID)

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 1790974764

Gregory Thomas Larson, LMT's National Provider Identifier is 1790974764, issued on Oct 16, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Moscow, ID. The record was last updated on Oct 19, 2026.