JESSICA LARSEN LMT
NPI 1104416197
Massage Therapist in Corvallis, OR

Q: What is Jessica Larsen's NPI number?

The NPI number for Jessica Larsen is 1104416197. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Q: What is Jessica Larsen's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Larsen was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2021

2405 SE CRYSTAL LAKE DR, CORVALLIS, OR 97333(917) 679-7296 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2022, Jan 22, 2021 (2 updates tracked since 2021).

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About Jessica Larsen Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LARSEN LMT (NPI 1104416197) is an individual massage therapist in Corvallis, Oregon, licensed in Oregon (23819) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1104416197

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameJESSICA LARSENCredential: LMT

Location Address2405 SE CRYSTAL LAKE DRCorvallis, OR 97333-2014

Mailing Address2405 Se Crystal Lake DrCorvallis, OR 97333-2014 · (917) 679-7296

Phone(917) 679-7296

Sole ProprietorYes

Enumeration DateJanuary 22, 2021

Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2022

✔ NPI 1104416197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in OR · 23819

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

2405 SE CRYSTAL LAKE DR, Corvallis, OR 97333

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Larsen's NPI number?

The NPI number for Jessica Larsen is 1104416197. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Jessica Larsen located?

Jessica Larsen practices at 2405 SE Crystal Lake Dr, Corvallis, OR 97333. The listed phone number is (917) 679-7296.

What is Jessica Larsen's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jessica Larsen was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.