DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK WAYNE LARSON, MT

Active Sole Proprietor

MARK WAYNE LARSON, MT is a Massage Therapist healthcare provider located in OOLTEWAH, Tennessee. NPI 1265876056 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · OOLTEWAH, TN

Registration Details

NPI Number
1265876056
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2013 (13.270290888563 yrs)
Last Updated
Apr 23, 2013
License
9061 (TN)
Sole Proprietor
Yes

Practice Information

Address
10093 SUNNY LN
OOLTEWAH, TN, 373638487
Browse TN providers · Browse ZIP 37363
Phone
4238388906
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in OOLTEWAH, TN

Name Credential NPI
JENNIFER L BYRD LMT 1669611166
MRS. KATHERINE ALLEN L.M.T. 1942692249
YELENA DOLINSKAY 1790162758
MARTHA GRAHAM LMT 1891322301
MRS. CHRISTINE DEANA JEAN DACUS MASSAGE THERAPIST 1871213942
MRS. ELLEN FISCHLER GAUBA LMT 1609645100
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.