Vicki L Larson, NCTMB
Massage Therapist in Spooner, WI. Individual provider (NPI-1).
NPI number1245404243
StatusActive
Last updated in NPPESApr 22, 2008
Details
- NPI
- 1245404243
- Entity type
- Individual (NPI-1)
- Name
- Vicki L Larson
- Credential
- NCTMB
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2008
- Last updated
- Apr 22, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 4173046 | WI | Yes |
Practice location
410 N River StSpooner, WI 54801-1495
Phone 715-635-9307
Mailing address
410 N River StSpooner, WI 54801-1495
Phone 715-635-9307
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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