Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY TACKETT
Active Sole ProprietorMR. LARRY TACKETT is a Massage Therapist healthcare provider located in MILL VALLEY, California. NPI 1053886291 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MILL VALLEY, CA
Registration Details
- NPI Number
- 1053886291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2018 (7.8364661226133 yrs)
- Last Updated
- Oct 3, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
316 MILLER AVE STE FMILL VALLEY, CA, 949412887Browse CA providers · Browse ZIP 94941
- Phone
- 4154191684
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in MILL VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. KAREN ISENBERG | CMT | 1396090197 |
| ANNA BOONE SOMAN | RMT | 1366153892 |
| MS. ALISON JOHNSTON | NBC-HWC | 1760165559 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.