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

Mark Wayne Larson, MT

Individual provider Massage Therapist · NPI 1265876056

Mark Wayne Larson, MT is a Massage Therapist in Ooltewah, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2013
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

10093 Sunny Ln
Ooltewah, TN 37363-8487
Phone: (423) 838-8906
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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 9061 (TN)

Record details

NPI number1265876056
Entity typeIndividual (Type 1)
GenderMale
Credentials MT
Sole proprietorYes
NPI enumeratedApril 23, 2013
Last updated in NPPESApril 23, 2013
Mailing addressPo Box 1505, 10093 Sunny Lane, Collegedale, TN 37315-1505

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