Deann Marie Larson, C.M.T.

NPI #1104041938 in Wayzata, Minnesota

Provider Information

NPI Number: 1104041938
Entity Type: Individual
Name: Deann Marie Larson, C.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: C.M.T.
Enumeration Date: Apr 16, 2007
Last Updated: Oct 4, 2007

Practice Location

Address: 1133 WAYZATA BLVD E
City: Wayzata
State: Minnesota
ZIP Code: 55391-1941
Phone: (763) 370-2361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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