Lisa A. Larson, L.M.T.
Massage Therapist in Farmington, UT. Individual provider (NPI-1).
NPI number1447479225
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1447479225
- Entity type
- Individual (NPI-1)
- Name
- Lisa A. Larson
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 368325-4701 | UT | Yes |
Practice location
630 Shepard LnFarmington, UT 84025-3934
Phone 801-447-8680 · Fax 801-447-4211
Mailing address
630 Shepard LnFarmington, UT 84025-3934
Phone 801-447-8680 · Fax 801-447-4211
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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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All 22 Massage Therapist providers in Farmington · All 528 providers in Farmington
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