person
Lori Augusta Larsen, MESSAGETHERAPIST
Massage Therapist in Redgranite, Wisconsin
NPI 1598427833

Lori Augusta Larsen is a Massage Therapist based in Redgranite, WI. Lori Augusta Larsen practices in Redgranite, WI and has the professional credentials of MESSAGETHERAPIST. The NPI Number for Lori Augusta Larsen is 1598427833 and holds a License No. 2116-146 (Wisconsin).

The current practice location address for Lori Augusta Larsen is 1100 E Bannerman Ave # 2, Redgranite, WI and can be reached out via phone at 920-566-0767 and via fax at 920-566-0768.

Location: 1100 E Bannerman Ave # 2, Redgranite, WI, 54970-0447
person
Provider Profile Details
NPI Number
1598427833
Provider Name
Lori Augusta Larsen
Credential
MESSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
1100 E Bannerman Ave # 2, Redgranite, WI, 54970-0447
Phone Number
920-566-0767
Fax Number
920-566-0768
Provider Enumeration Date
10/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 E Bannerman Ave # 2
City
State
Zip
54970-9320
Phone Number
920-566-0767
Fax Number
920-566-0768
person
Provider Business Mailing Address Details
Address
1100 E Bannerman Ave # 2
City
State
Zip
54970-9320
Phone Number
920-566-0767
Fax Number
920-566-0768
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
2116-146 (Wisconsin)
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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