| Doctor Name: | MS. KRYSTYNA LARSON |
| NPI Number: | 1366505851 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., CLT |
| License Number: | 05002424A |
| Business Practice Address: | 3900 W 95th St Suite 7 Evergreen Park, IL - 608051922 |
| Business Phone Number: | 7084237900 |
| Business Fax Number: | 7084237999 |
| Mailing Address: | 314 Bluebird Ave, CROWN POINT |
| State: | IN |
| Postal Code: | 463074302 |
| Phone Number: | 2196626318 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05002424A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |