Miranda Cathleen Larson, BCTMB, LMT
NPI #1437460334 in Fargo, North Dakota
Provider Information
- NPI Number
- 1437460334
- Entity Type
- Individual
- Name
- Miranda Cathleen Larson, BCTMB, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- BCTMB, LMT
- Enumeration Date
- Jun 24, 2010
- Last Updated
- Apr 25, 2017
Practice Location
- Address
- 112 UNIVERSITY DR N
- Address 2
- STE 316
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58102-4661
- Phone
- (218) 289-0276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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