NPI 1235915364

Larissa Kidd, LMT

Practitioner Massage Therapist Paragould, AR

Practice location

Address: 517 N 14th St STE 2, Paragould, AR 72450-3550
Phone: (870) 335-7576
Mailing address: 92 Greene 712 Rd, Paragould, AR 72450-8269

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 4884 (AR)

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Registry record

NPI: 1235915364
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2023
Record last updated: 5 Sep 2023

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.