Whalio Doctors

NPI 1003022179

Nicole Marie Larsen, LACMOM

Practitioner Acupuncturist Bloomington, MN

Practice location

Address
200 W 96th St APT 2b, Bloomington, MN 55420-4328
Phone
(651) 214-1428
Mailing address
200 West 96th APT #2b, Bloomington, MN 55420-5542

Registered specialties

Acupuncturist Primary
Other Service Providers Taxonomy 171100000X Licence 1378 (MN)

Registry record

NPI
1003022179
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.