MS. LISA L LARSEN L.M.T. - NPI 1134423114 - Massage Therapist in Albuquerque, NM

Q: What is Lisa Larsen's NPI number?

The NPI number for Lisa Larsen is 1134423114. It was assigned to this individual provider in the NPPES registry on January 5, 2011.

Q: What is Lisa 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 Lisa Larsen was last updated on January 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Lisa L Larsen L.m.t. NPPES

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

MS. LISA L LARSEN L.M.T. (NPI 1134423114) is an individual massage therapist in Albuquerque, New Mexico, licensed in New Mexico (4655) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1134423114

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMS. LISA L LARSENCredential: L.M.T.

Location Address2709 WYOMING BLVD NEAlbuquerque, NM 87111-4540

Mailing Address2403 San Mateo Blvd Ne, W-16Albuquerque, NM 87110-4058 · (505) 363-6718

Phone(505) 294-5486

Sole ProprietorYes

Enumeration DateJanuary 5, 2011

✔ NPI 1134423114 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 NM · 4655

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.

2709 WYOMING BLVD NE, Albuquerque, NM 87111

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