Mark Wayne Larson, MT

NPI #1265876056 in Ooltewah, Tennessee

Provider Information

NPI Number
1265876056
Entity Type
Individual
Name
Mark Wayne Larson, MT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
MT
Enumeration Date
Apr 23, 2013
Last Updated
Apr 23, 2013

Practice Location

Address
10093 SUNNY LN
ZIP Code
37363-8487
Phone
(423) 838-8906

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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