MRS. Miki Larson, LMP

NPI #1033360755 in Auburn, Washington

Provider Information

NPI Number: 1033360755
Entity Type: Individual
Name: MRS. Miki Larson, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Oct 1, 2008
Last Updated: Oct 1, 2008

Practice Location

Address: 1101 SUPER MALL WAY
Address 2: #1269
City: Auburn
State: Washington
ZIP Code: 98001
Phone: (253) 269-0261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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