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Contact Information

MIKI LARSON, LMP
1101 SUPER MALL WAY
#1269
AUBURN, WA98001
 Phone: 253-269-0261
 Fax: 253-269-0202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for MIKI LARSON · (Female)

NPI # 1033360755
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 10/01/2008
Last updated 10/01/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MA00025170
  • WA Other 230529 WA ST. DEPT OF LABOR & INDUSTRIES
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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