Jamie Lynn Larsen, DPT

NPI #1720394174 in Lewiston, Idaho

Provider Information

NPI Number: 1720394174
Entity Type: Individual
Name: Jamie Lynn Larsen, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 24, 2010
Last Updated: Oct 20, 2010

Practice Location

Address: 1010 BRYDEN AVE
Address 2: SUITE A
City: Lewiston
State: Idaho
ZIP Code: 83501-2713
Phone: (208) 746-0455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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