IndividualActive
Miranda Larson, BCTMB, LMT
NPI 1437460334 · Massage Therapist · Fargo, ND
Provider details
- NPI number
- 1437460334
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BCTMB, LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 1539 (ND)
Practice location
112 University Dr N
Ste 316
Fargo, ND 58102-4661
Phone: (218) 289-0276
Mailing address
112 University Dr N
Fargo, ND 58102-4661
Registry dates
- Enumerated
- 2010-06-24
- Last updated
- 2017-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.