MS. Nicole Elizabeth Larson, LMT

NPI #1154929198 in Kilauea, Hawaii

Provider Information

NPI Number: 1154929198
Entity Type: Individual
Name: MS. Nicole Elizabeth Larson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 12, 2020
Last Updated: Aug 12, 2022

Practice Location

Address: 2430 OKA ST STE B
City: Kilauea
State: Hawaii
ZIP Code: 96754-5332
Phone: (808) 828-0030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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