MS. Larissa Kidd, LMT

NPI #1235915364 in Paragould, Arkansas

Provider Information

NPI Number: 1235915364
Entity Type: Individual
Name: MS. Larissa Kidd, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 5, 2023
Last Updated: Sep 5, 2023

Practice Location

Address: 517 N 14TH ST STE 2
City: Paragould
State: Arkansas
ZIP Code: 72450-3550
Phone: (870) 335-7576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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