Mary St. John Larson, LMT,CMTPT

Specialist · Orange Park, FL

Individual Active NPI

NPI number 1043346687

Practice location

2301 Park Ave
#209
Orange Park, FL 32073-5565
Phone
(904) 215-9923

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NPI record

NPI
1043346687
Entity type
Individual (Type 1)
Enumeration date
February 26, 2007
Last updated
December 5, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X MA 39861 FL

About Mary Larson

Mary St. John Larson, LMT,CMTPT is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2301 Park Ave, #209, Orange Park, FL 32073-5565. The NPI number 1043346687 was assigned on February 26, 2007 and the record was last updated on December 5, 2013.

Mary Larson lists a license in the registry: #MA 39861 (FL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary St. John Larson, LMT,CMTPT?

The NPI number is 1043346687.

What is the phone number of Mary Larson?

The phone number listed for the practice location is (904) 215-9923.

Where is Mary Larson located?

2301 Park Ave, #209, Orange Park, FL 32073-5565.

What is the taxonomy code for Mary Larson?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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