Individual
LARISSA RAE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2857 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-7960
(208) 888-5858
(208) 884-1508
Mailing address
2857 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-7960
(208) 888-5858
(208) 884-1508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4118
ID
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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