Todd Kristian Larson, PT

NPI #1568159630 in Logan, Utah

Provider Information

NPI Number: 1568159630
Entity Type: Individual
Name: Todd Kristian Larson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 19, 2023
Last Updated: Jul 13, 2023

Practice Location

Address: 258 S MAIN ST STE 210
City: Logan
State: Utah
ZIP Code: 84321-5768
Phone: (435) 383-6120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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