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Larissa L Head
Massage Therapist in Portage, Michigan
NPI 1740879147

Larissa L Head is a Massage Therapist based in Portage, MI. Larissa L Head practices in Portage, MI. The NPI Number for Larissa L Head is 1740879147 and holds a License No. 7501001123 (Michigan).

The current practice location address for Larissa L Head is 4659 Blackburn Ave, Portage, MI and can be reached out via phone at 989-327-7920.

Location: 4659 Blackburn Ave, Portage, MI, 49024-3045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740879147
Provider Name
Larissa L Head
Credential
Provider Entity Type
Individual
Gender
Female
Address
4659 Blackburn Ave, Portage, MI, 49024-3045
Phone Number
989-327-7920
Fax Number
Provider Enumeration Date
01/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4659 Blackburn Ave
City
Portage
State
Michigan
Zip
49024-3045
Phone Number
989-327-7920
Fax Number
person
Provider Business Mailing Address Details
Address
4659 Blackburn Ave
City
Portage
State
Michigan
Zip
49024-3045
Phone Number
989-327-7920
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501001123 (Michigan)
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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