Individual
LAURIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, PTA
Contact information
Practice address
406 N. BLACK, SILVER CITY, NM 88061
(505) 534-1811
(505) 534-0095
Mailing address
204 S COOPER ST, SILVER CITY, NM 88061-4827
(505) 534-1811
(505) 534-0095
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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