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

LARISSA L HEAD

Active Sole Proprietor

LARISSA L HEAD is a Massage Therapist healthcare provider located in PORTAGE, Michigan. NPI 1740879147 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PORTAGE, MI

Registration Details

NPI Number
1740879147
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2021 (5.5454227536436 yrs)
Last Updated
Jan 12, 2021
License
7501001123 (MI)
Sole Proprietor
Yes

Practice Information

Address
4659 BLACKBURN AVE
PORTAGE, MI, 490243045
Browse MI providers · Browse ZIP 49024
Phone
9893277920
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in PORTAGE, MI

Name Credential NPI
KELLY DENISE MCLEAN MT, RMT 1720393515
MS. MAUREEN MARGARET MOORE MT 1316240609
LAURA KIM ROTHWELL LMT 1518414788
THOMAS EMERY SNYDER MASSAGE THERAPIST 1356867337
MRS. TAMI COLEEN STINGLEY LMT 1891278651
MISS SAVANNAH MARIE STEPAN LMT 1598316721
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.