MRS. Kalie Ann Larson, L.M.T.

NPI #1427306752 in Provo, Utah

Provider Information

NPI Number
1427306752
Entity Type
Individual
Name
MRS. Kalie Ann Larson, L.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
L.M.T.
Enumeration Date
Aug 16, 2012
Last Updated
Aug 16, 2012

Practice Location

Address
370 S 200 E
Address 2
BSMT
City
Provo
State
Utah
ZIP Code
84606-4608
Phone
(509) 389-4172

Specialties & Taxonomy Codes

Specialty
Specialist

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