Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larry Wayne Robertson, LICENSEDMASSAGE

Individual provider Massage Therapist · NPI 1720868581

Larry Wayne Robertson, LICENSEDMASSAGE is a Massage Therapist in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023
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Practice location Address checks out

116 E South St
Longview, TX 75601-7437
Phone: (903) 230-1911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT037344 (TX)

Record details

NPI number1720868581
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEDMASSAGE
Sole proprietorYes
NPI enumeratedSeptember 29, 2023
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023
Mailing address116 E South St, Longview, TX 75601-7437

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