MR. James Robert Larsen JR., A.T.C. L.A.T.

NPI #1669741724 in Powell, Wyoming

Provider Information

NPI Number
1669741724
Entity Type
Individual
Name
MR. James Robert Larsen JR., A.T.C. L.A.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
A.T.C. L.A.T.
Enumeration Date
Dec 19, 2011
Last Updated
Dec 19, 2011

Practice Location

Address
387 N FERRIS ST
Address 2
APT L
City
Powell
State
Wyoming
ZIP Code
82435-2042
Phone
(307) 359-0617

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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