Mary M Larson, MASSAGE THERAPIST

NPI #1578823357 in Crested Butte, Colorado

Provider Information

NPI Number: 1578823357
Entity Type: Individual
Name: Mary M Larson, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: May 25, 2012
Last Updated: May 25, 2012

Practice Location

Address: 120 ELK AVE.
City: Crested Butte
State: Colorado
ZIP Code: 81224
Phone: (970) 209-5984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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