Individual
DEANN MARIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
1133 WAYZATA BLVD E, WAYZATA, MN 55391-1941
(763) 370-2361
Mailing address
1133 E WAYZATA BLVD, WAYZATA, MN 55391
(763) 370-2361
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
10/04/2007
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