Individual
MS. ANN LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS (NUTRTION), LMT
Contact information
Practice address
1647 WOODSIDE DR, EAST LANSING, MI 48823-2957
(517) 575-7836
Mailing address
1647 WOODSIDE DR, EAST LANSING, MI 48823-2957
(517) 575-7836
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009069
MI
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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