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

Mr. Larry Tackett

Individual provider Massage Therapist · NPI 1053886291

Mr. Larry Tackett is a Massage Therapist in Mill Valley, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

316 Miller Ave Ste F
Mill Valley, CA 94941-2887
Phone: (415) 419-1684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1053886291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2018
Last updated in NPPESOctober 3, 2018
Mailing address316 Miller Ave Ste F, Mill Valley, CA 94941-2887

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