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Mark Wayne Larson, MT
Massage Therapist in Ooltewah, Tennessee
NPI 1265876056

Mark Wayne Larson is a Massage Therapist based in Collegedale, TN. Mark Wayne Larson practices in Ooltewah, TN and has the professional credentials of MT. The NPI Number for Mark Wayne Larson is 1265876056 and holds a License No. 9061 (Tennessee).

The current practice location address for Mark Wayne Larson is 10093 Sunny Ln, Ooltewah, TN and can be reached out via phone at 423-838-8906.

Location: 10093 Sunny Ln, Ooltewah, TN, 37315-1505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265876056
Provider Name
Mark Wayne Larson
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
10093 Sunny Ln, Ooltewah, TN, 37315-1505
Phone Number
423-838-8906
Fax Number
Provider Enumeration Date
04/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10093 Sunny Ln
City
Ooltewah
State
Tennessee
Zip
37363-8487
Phone Number
423-838-8906
Fax Number
person
Provider Business Mailing Address Details
Address
10093 Sunny Ln
City
Ooltewah
State
Tennessee
Zip
37363-8487
Phone Number
423-838-8906
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
9061 (Tennessee)
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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