Individual
SIMONE ALICIA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
5537 OLD US 93, SUITE A, FLORENCE, MT 59833
(406) 679-0496
Mailing address
350 NORTH TRL, FLORENCE, MT 59833-6713
(406) 679-0496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
928
MT
Other
Enumeration date
09/18/2009
Last updated
12/11/2018
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