NPI 1073111431

Erik Larson

Practitioner Massage Therapist Fredericksburg, VA

Practice location

Address: 624 1/2 Charlotte St, Fredericksburg, VA 22401-5704
Phone: (703) 347-3234

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019011635 (VA)

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Registry record

NPI: 1073111431
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2020
Record last updated: 16 Oct 2020

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.