MARK WAYNE LARSON MT
NPI 1265876056
Massage Therapist in Ooltewah, TN

Q: What is Mark Larson's NPI number?

The NPI number for Mark Larson is 1265876056. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Q: What is Mark Larson'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 Mark Larson was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 23, 2013

10093 SUNNY LN, OOLTEWAH, TN 37363(423) 838-8906 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark Wayne Larson Mt NPPES

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

MARK WAYNE LARSON MT (NPI 1265876056) is an individual massage therapist in Ooltewah, Tennessee, licensed in Tennessee (9061) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1265876056

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMARK WAYNE LARSONCredential: MT

Location Address10093 SUNNY LNOoltewah, TN 37363-8487

Mailing AddressPo Box 1505, 10093 Sunny LaneCollegedale, TN 37315-1505 · (423) 838-8906

Phone(423) 838-8906

Sole ProprietorYes

Enumeration DateApril 23, 2013

✔ NPI 1265876056 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 TN · 9061

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.

10093 SUNNY LN, Ooltewah, TN 37363

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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 Mark Larson's NPI number?

The NPI number for Mark Larson is 1265876056. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Mark Larson located?

Mark Larson practices at 10093 Sunny Ln, Ooltewah, TN 37363. The listed phone number is (423) 838-8906.

What is Mark Larson'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 Mark Larson was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.