MIRANDA LYNN LARSON CMT NMT NPI 1184337776

NPI Information

NPI: 1184337776
Provider Name: MIRANDA LYNN LARSON, CMT NMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1380 LEAD HILL BLVD STE 211
ROSEVILLE, CA
ZIP 95661
Phone: (916) 530-0029
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Miranda Lynn Larson, CMT NMT is a massage therapist in Roseville, CA. The provider is 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. Miranda Lynn Larson, CMT NMT NPI is 1184337776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1380 LEAD HILL BLVD STE 211
ROSEVILLE, CA
ZIP 95661-997
Phone: (916) 530-0029

The enumeration date for this NPI number is 12/29/2022 and was last updated on 2/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		88128	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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