Larson, Miranda Cathleen
Larson, Miranda Cathleen is an individual health care provider with primary practice located at 112 University Dr N Ste 316, Fargo ND 58102-4661. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Larson, Miranda Cathleen can be contacted via phone (218) 289-0276.Contact Information
Primary practice address
112 University Dr N Ste 316
Fargo ND 58102-4661
Phone: (218) 289-0276
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 1539 | North Dakota |
Profile Details
NPI number | 1437460334 |
---|---|
LBN Legal business name | Larson, Miranda Cathleen |
Credentials | BCTMB, LMT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2010 |
Last updated | Apr 25th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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