Individual
MISS KIM ANN LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2288 DREW STREET, SUITE E, CLEARWATER, FL 33765
(727) 791-1212
(727) 791-6666
Mailing address
2288 DREW STREET, SUITE E, CLEARWATER, FL 33765
(727) 791-1212
(727) 791-6666
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA73213
FL
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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