Individual provider · Type 1 NPI
Roberta S. Larson, LMT
Massage Therapist · Broken Arrow, OK
NPI number
1982907036
Active
Practice location
7848 S Elm Pl
Broken Arrow, OK 74011-4353
Mailing address
817 S Elm Pl Ste 100
Broken Arrow, OK 74012-5369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 101774 (OK) |
| Massage Therapist Primary | 225700000X | MT040151 (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 1982907036
Roberta S. Larson, LMT's National Provider Identifier is 1982907036, issued on Dec 13, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Broken Arrow, OK. The record was last updated on Feb 24, 2021.