Madisson Michelle Larson

NPI #1811452923 in Bemidji, Minnesota

Provider Information

NPI Number: 1811452923
Entity Type: Individual
Name: Madisson Michelle Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 2, 2019
Last Updated: Feb 2, 2019

Practice Location

Address: 26536 COUNTY 9
City: Bemidji
State: Minnesota
ZIP Code: 56601-5453
Phone: (218) 766-7344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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