Individual
LARISSA LYNN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5261 N PORT WASHINGTON RD, GLENDALE, WI 53217-4903
(414) 332-6001
(414) 332-3712
Mailing address
5261 N PORT WASHINGTON RD, GLENDALE, WI 53217-4903
(414) 332-6001
(414) 332-3712
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11945-146
WI
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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