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NPI Code Detail

MEDICARE: MICHAEL THOMAS LARKIN

MEDICARE: MICHAEL THOMAS LARKIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1699900969
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL THOMAS LARKIN
Provider Business Mailing Address
First Line : 3724 DIXON ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-2419
Country : US
Telephone Number : 805-845-3885
Fax Number :
Provider Business Practice Location Address
First Line : 3724 DIXON ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-2419
Country : US
Telephone Number : 805-845-3885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2009
Last Update Date : 05/15/2009

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Directions to “ MICHAEL THOMAS LARKIN ” Practice Location

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