Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437460334 Individual Practitioner Female Practitioner

Miranda Cathleen Larson , BCTMB, LMT

Massage Therapist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Miranda Larson, BCTMB, LMT is a registered healthcare professional specializing in Massage Therapist in Fargo, ND. Practice services are available at 112 UNIVERSITY DR N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 University Dr N
Ste 316

Fargo, ND 581024661

Telephone 2182890276
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Fargo, ND (115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License ND 1539

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Amanda Knapper , MED, LPCC, NCC

Counselor - Professional

NPI 1407524366

Master of Education, Licensed Professional Clinical Counselor, National Certified Counselor

Jessica Karjalainen , MA LAC LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1710284120

MALACLADC

Dr. Scott Sternhagen , PhD

Psychologist - Clinical

NPI 1821019043

Doctor of Philosophy (Ph.D.)

Brenda Haugstad , LMT, LR

Massage Therapist

NPI 1922187392

Licensed Massage Therapist, LR

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2017

Registered at 112 UNIVERSITY DR N, STE 316, FARGO, ND 581024661 (Tel: 2182890276)

📍
Updated Business Mailing Address April 25, 2017

Registered at 112 UNIVERSITY DR N, STE 316, FARGO, ND 581024661 (Tel: 2182890276)

👤
Provider Name / Credentials Updated April 25, 2017

Recorded as MIRANDA LARSON, BCTMB, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Massage Therapist (License #1539 in ND)

NPI Profile Active June 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2010

Registered at 1220 2ND AVE S, MOORHEAD, MN 565602909 (Tel: 2182331188)

📍
Updated Business Mailing Address June 24, 2010

Registered at 908 24TH AVE S, APARTMENT 19, MOORHEAD, MN 565604440 (Tel: 2182890276)

👤
Provider Name / Credentials Updated June 24, 2010

Recorded as MIRANDA HENDRICKSON, NCTMB, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2010

Massage Therapist (License #10-0526MAST in MN)

🟢
Initial NPI Registration & Enumeration June 24, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437460334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2010
Last Update: April 25, 2017
Sole Proprietor: No

Mailing Address

112 University Dr N, Ste 316

Fargo, ND 581024661

Phone: 2182890276

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.