Individual provider · Type 1 NPI
Larissa Lee Renna, LMT, MMP
Massage Therapist · Mesa, AZ
NPI number
1992094668
Active
Practice location
2025 S Davis Cir
Mesa, AZ 85210-6706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-13323 (AZ) |
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 1992094668
Larissa Lee Renna, LMT, MMP's National Provider Identifier is 1992094668, issued on Apr 4, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mesa, AZ. The record was last updated on Apr 4, 2011.