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

Miranda Lynn Larson, CMTNMT

Individual provider Massage Therapist · NPI 1184337776

Miranda Lynn Larson, CMTNMT is a Massage Therapist in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1380 Lead Hill Blvd Ste 211
Roseville, CA 95661-2997
Phone: (916) 530-0029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 88128 (CA)

Record details

NPI number1184337776
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMTNMT
Sole proprietorYes
NPI enumeratedDecember 29, 2022
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

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