Organization Name: | ROGER L LARSON RPT PC |
NPI Number: | 1003060906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER L LARSON (PRESIDENT/OWNER) |
Mailing Address: | 6040 Fashion Blvd Ste. #200 Murray |
State: | UT US |
Postal Code: | 841075417 |
Phone Number: | 8012667534 |
Fax Number: | 8012667547 |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 02/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 105692-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |