MARK WAYNE LARSON (NPI# 1265876056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265876056 |
| Entity Type | Individual |
| Full Name | MARK WAYNE LARSON |
| Credential | MT |
| Practice Address |
10093 Sunny Ln Ooltewah TN 37363-8487 |
| Mailing Address |
Po Box 1505 10093 Sunny Lane Collegedale TN 37315-1505 |
| Practice Telephone | 4238388906 |
| Mailing Telephone | 4238388906 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 9061 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538524905 | Mark Larson | Dentist | 5441 Saint Marys Cir, Westminster, CA 92683-3416 | 2015-12-29 |
| 1821310285 | Mark Larson | Pharmacist | 10 Westwood Cir, Minnetonka, MN 55305-1588 | 2010-02-25 |
| 1770644767 | Mark Duane Larson | Plastic Surgery | 755 N 11th St Ste P1000, Beaumont, TX 77702-1528 | 2006-12-13 |
| 1376553503 | Mark Douglas Larson | Counselor | 605 East Boulevard, Methodist Counseling & Consultation Services, Charlotte, NC 28203-5111 | 2006-08-09 |
| 1124088208 | Mark R. Larson | Psychologist | 130 Allens Creek Rd, Rochester, NY 14618-3305 | 2006-03-24 |
| 1669452678 | Mark P Larson | Dentist | 278 Star Hill Dr, Cape Carteret, NC 28584-8933 | 2006-01-18 |
| 1831651868 | Mark Daniel Larson | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2019-03-31 |
| 1942789318 | Mark Larson | Nurse Practitioner | 2373 Augusta Hwy, Lexington, SC 29072-2213 | 2018-08-07 |
| 1497973416 | Mark Thomas Larson | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2007-04-23 |
| 1194784090 | Mark W Larson | Specialist | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2006-03-20 |
| Street Address |
10093 SUNNY LN |
| City | OOLTEWAH |
| State | TN |
| Zip Code | 37363-8487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203196 | University Health Center | Clinic/Center | 4687 University Drive, Ooltewah, TN 37363 | 2019-09-05 |
| 1508426560 | Alexandra Scott | Dentist | 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 | 2019-06-20 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
| 1750877833 | Amanda Kirkpatrick | Dietitian, Registered | 6103 Hunter Crest Drive, Ooltewah, TN 37363 | 2018-07-02 |
| 1447759493 | Abigale Daniels | Specialist/Technologist | 6154 Wardwell Drive, Ooltewah, TN 37363 | 2018-02-06 |
| 1538671748 | Ryan Volking | Physician Assistant | 7564 Passport Dr, Ooltewah, TN 37363 | 2017-10-27 |
| 1255882270 | Stella Tsui | Physical Therapy Assistant | 3818 Chanterwood Trl, Ooltewah, TN 37363 | 2016-10-14 |
| 1013392299 | Rhonda Wilson | Counselor | 5516 Barons Point, Ooltewah, TN 37363 | 2015-07-29 |
| Find all providers in zip 37363 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891322301 | Martha Graham | Massage Therapist | 6333 Frankfurt Rd, Ooltewah, TN 37363-5584 | 2020-03-25 |
| 1790162758 | Yelena Dolinskay | Massage Therapist | 4322 Wellesley Dr, Ooltewah, TN 37363 | 2015-04-29 |
| 1669611166 | Jennifer L Byrd | Massage Therapist | 5906 Main St, Suite 132, Ooltewah, TN 37363-9296 | 2009-02-07 |
| 1942692249 | Katherine Allen | Massage Therapist | 9481 David Smith Ln, Ooltewah, TN 37363-7293 | 2015-02-23 |
| 1326390014 | Bella Spa | Massage Therapist | 5121 Ooltewah Ringgold Rd, Ste B2, Ooltewah, TN 37363-7287 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788274 | Gary Justin Farr | Massage Therapist | 978 Fred Ford Rd, Crossville, TN 38571-0261 | 2020-10-24 |
| 1548868078 | Brian Christopher Covington | Massage Therapist | 93 Weakley Ln Apt B20, Smyrna, TN 37167-4368 | 2020-10-16 |
| 1598363012 | Derrick Dewayne Crawford | Massage Therapist | 4701 Old Hickory Blvd Apt C202, Old Hickory, TN 37138-2073 | 2020-10-16 |
| 1003414293 | Jack Weair Wooten Jr. | Massage Therapist | 2612 W Heiman St Apt D38, Nashville, TN 37208-1818 | 2020-10-12 |
| 1982211421 | Jason Joseph | Massage Therapist | 173 Whitman Aly, Clarksville, TN 37043-6340 | 2020-09-29 |
| 1992312987 | Louise Thackston Rikard | Massage Therapist | 483 Russell Hill Rd, Speedwell, TN 37870-7161 | 2020-09-24 |
| 1275149320 | Zachary Reagan Riddle | Massage Therapist | 206 Copper Ridge Trl, Rockvale, TN 37153-4655 | 2020-09-23 |
| 1497361729 | Marie C Anderson | Massage Therapist | 3157 Skinner Dr, Antioch, TN 37013-3965 | 2020-09-22 |
| 1982210340 | Ashley Hiatt | Massage Therapist | 514 Peach Creek Cres, Nashville, TN 37214-3351 | 2020-09-21 |
| 1922613587 | Tina Marie Bridges Byaridge | Massage Therapist | 300 E Vine St, Murfreesboro, TN 37130-4248 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.