Brian E. Larson, D.c., P.c.

NPI #1255664116 in Soldotna, Alaska

Provider Information

NPI Number: 1255664116
Entity Type: Organization
Organization Name: Brian E. Larson, D.c., P.c.
Primary Specialty: Chiropractor - Sports Physician
Enumeration Date: Sep 10, 2009
Last Updated: Jan 27, 2011

Practice Location

Address: 189 S BINKLEY ST
Address 2: SUITE 101
City: Soldotna
State: Alaska
ZIP Code: 99669-8007
Phone: (907) 262-0801

Authorized Official

Name: MRS. CHERYL KAY LARSON
Title: OFFICE MANAGER
Phone: (907) 262-0801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X
Physical Therapist	225100000X
Massage Therapist	225700000X
Chiropractor - Sports Physician — Sports Physician	111NS0005X	Primary

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