Vicki L Larson, NCTMB is a
Massage Therapist based in Spooner, Wisconsin. Vicki L Larson is licensed to practice in Wisconsin (license number 4173046) and her current practice location is
410 N River St, Spooner, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 635-9307.
NPI number for Vicki L Larson is 1245404243 and her current mailing address is 410 N River St, Spooner, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245404243.
Healthcare Provider's Profile
| Full Name | Vicki L Larson |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 410 N River St, Spooner, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245404243
- Provider Enumeration Date: 04/22/2008
- Last Update Date: 04/22/2008
Medical Identifiers
Medical identifiers for Vicki L Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245404243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 4173046 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vicki L Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vicki L Larson, NCTMB
410 N River St,
Spooner, WI 54801-1495
Ph: (715) 635-9307 | Vicki L Larson, NCTMB
410 N River St,
Spooner, WI 54801-1495
Ph: (715) 635-9307 |
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