| Larissa Lynn Perry, LMT | |
|
5261 N Port Washington Rd, Glendale, WI 53217-4903 | |
| (414) 332-6001 | |
| (414) 332-3712 |
| Full Name | Larissa Lynn Perry |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 5261 N Port Washington Rd, Glendale, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578278511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 11945-146 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larissa Lynn Perry, LMT 5261 N Port Washington Rd, Glendale, WI 53217-4903 Ph: (414) 332-6001 | Larissa Lynn Perry, LMT 5261 N Port Washington Rd, Glendale, WI 53217-4903 Ph: (414) 332-6001 |
Casandra Stieber, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5261 N Port Washington Rd, Glendale, WI 53217 Phone: 414-332-6001 Fax: 414-332-3712 | |
Mr. Stanislav Kononov, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5215 N Ironwood Rd Ste 104, Glendale, WI 53217 Phone: 414-334-1023 |