Kelly Larson, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60022016 Issued in WA

Practice address

11 Spokane St Ste 202
Wenatchee, WA 98801-6132

Phone

(509) 679-7067

Fax

(509) 888-8001

NPI assigned

Feb 6, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1124442595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E NIXON AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168649",
            "telephone_number": "509-679-7067",
            "fax_number": "509-888-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SPOKANE ST STE 202",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016132",
            "telephone_number": "509-679-7067",
            "fax_number": "509-888-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KELLY",
        "name_prefix": "Miss",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60022016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandi Jo Larson
• Brandi Nicole Larson, LMP
• Wayne Mark Latimer
• Emily Rose Laughlin, LMHC
• John W Laughlin, PA, LMHC
• Matthew Jerauld Laws, LMT
• Balaji Laxmanan, MD

• Massage Therapist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.