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Miranda Lynn Larson, CMTNMT
Massage Therapist in Roseville, California
NPI 1184337776

Miranda Lynn Larson is a Massage Therapist based in Roseville, CA. Miranda Lynn Larson practices in Roseville, CA and has the professional credentials of CMTNMT. The NPI Number for Miranda Lynn Larson is 1184337776 and holds a License No. 88128 (California).

The current practice location address for Miranda Lynn Larson is 1380 Lead Hill Blvd Ste 211, Roseville, CA and can be reached out via phone at 916-530-0029.

Location: 1380 Lead Hill Blvd Ste 211, Roseville, CA, 95661-2997
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184337776
Provider Name
Miranda Lynn Larson
Credential
CMTNMT
Provider Entity Type
Individual
Gender
Female
Address
1380 Lead Hill Blvd Ste 211, Roseville, CA, 95661-2997
Phone Number
916-530-0029
Fax Number
Provider Enumeration Date
12/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1380 Lead Hill Blvd Ste 211
City
Roseville
State
California
Zip
95661-2997
Phone Number
916-530-0029
Fax Number
person
Provider Business Mailing Address Details
Address
1380 Lead Hill Blvd Ste 211
City
Roseville
State
California
Zip
95661-2997
Phone Number
916-530-0029
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
88128 (California)
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.
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