Individual
ANNIE ROSE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LR, BCTMB, MAT
Contact information
Practice address
3222 28TH ST S STE A, FARGO, ND 58104-5183
(701) 232-4770
(701) 237-3251
Mailing address
3222 28TH ST S STE A, FARGO, ND 58104-5183
(701) 232-4770
(701) 237-3251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1263
ND
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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