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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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