Kelly A Larson, LMP

NPI #1619274362 in Port Townsend, Washington

Provider Information

NPI Number: 1619274362
Entity Type: Individual
Name: Kelly A Larson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Feb 15, 2011
Last Updated: Feb 15, 2011

Practice Location

Address: 225 MAXWELL AVE
City: Port Townsend
State: Washington
ZIP Code: 98368-9488
Phone: (360) 643-3685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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