| Doctor Name: | MR. KEITH LARSON |
| NPI Number: | 1013931021 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 6389 |
| Business Practice Address: | 10450 Park Meadows Dr. Suite 103 Lone Tree, CO - 80124 |
| Business Phone Number: | 3037545222 |
| Business Fax Number: | 3037545201 |
| Mailing Address: | File 50469, LOS ANGELES |
| State: | CA |
| Postal Code: | 900740469 |
| Phone Number: | 5307780200 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6389 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| 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 |