LARISSA L HEAD
NPI 1740879147
Massage Therapist in Portage, MI

Q: What is Larissa Head's NPI number?

The NPI number for Larissa Head is 1740879147. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Q: What is Larissa Head'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 Larissa Head was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 12, 2021

4659 BLACKBURN AVE, PORTAGE, MI 49024(989) 327-7920 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larissa L Head NPPES

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

LARISSA L HEAD (NPI 1740879147) is an individual massage therapist in Portage, Michigan, licensed in Michigan (7501001123) and active in the NPI registry since January 2021. She maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1740879147

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameLARISSA L HEAD

Location Address4659 BLACKBURN AVEPortage, MI 49024-3045

Mailing Address4659 Blackburn AvePortage, MI 49024-3045 · (989) 327-7920

Phone(989) 327-7920

Sole ProprietorYes

Enumeration DateJanuary 12, 2021

NPPES CertifiedJanuary 11, 2021

✔ NPI 1740879147 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 MI · 7501001123

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.

4659 BLACKBURN AVE, Portage, MI 49024

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Secondary Practice Location 1

Location 16126 Lovers LnPortage, MI 49002-3026 · Phone (269) 383-2444

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 Larissa Head's NPI number?

The NPI number for Larissa Head is 1740879147. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Larissa Head located?

Larissa Head practices at 4659 Blackburn Ave, Portage, MI 49024. The listed phone number is (989) 327-7920.

What is Larissa Head'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 Larissa Head was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.