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Individual

LAURIE LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, PTA

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A317
NM
225700000X
Massage Therapist
NM 3955
NM

Other

Enumeration date
04/06/2007
Last updated
09/11/2025
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