Doctor Name: | MRS. BRENNA KELLY LARSON |
NPI Number: | 1346674629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, CSCS |
License Number: | 2631 |
Business Practice Address: | 7731 E. Northern Lights Blvd. Suite 2 Anchorage, AK - 99504 |
Business Phone Number: | 9072455555 |
Business Fax Number: | 9073335755 |
Mailing Address: | 7731 E. Northern Lights Blvd., Suite 2 ANCHORAGE |
State: | AK |
Postal Code: | 99504 |
Phone Number: | 9072455555 |
Fax Number: | 9073335755 |
NPI Enumeration Date: | 08/22/2013 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |