IndividualActive
Larissa Head
NPI 1740879147 · Massage Therapist · Portage, MI
Provider details
- NPI number
- 1740879147
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7501001123 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4659 Blackburn Ave
Portage, MI 49024-3045
Phone: (989) 327-7920
Street-level locationGet directions
Mailing address
4659 Blackburn Ave
Portage, MI 49024-3045
Additional practice locations (1)
- 6126 Lovers LnPortage, MI 49002-3026Phone: (269) 383-2444
Registry dates
- Enumerated
- 2021-01-12
- Last updated
- 2021-01-12
- Certified
- 2021-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.