Jodi Teresa Larson, LMP
Massage Therapist in Vancouver, WA. Individual provider (NPI-1).
NPI number1821298043
StatusActive
Last updated in NPPESJul 25, 2007
Details
- NPI
- 1821298043
- Entity type
- Individual (NPI-1)
- Name
- Jodi Teresa Larson
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2007
- Last updated
- Jul 25, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA00023799 | WA | Yes |
Practice location
14415 Se Mill Plain BlvdSte. 120c
Vancouver, WA 98684
Phone 360-944-0050
Mailing address
14415 Se Mill Plain Bl.Suite 120c
Vancouver, WA 98684
Phone 360-944-0050
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