Doctor Name: | MR. LARRY NELS LARSEN |
NPI Number: | 1497740088 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., A.T.C., S.T.S. |
License Number: | 0321 |
Business Practice Address: | 1717 Irving Pl Shreveport, LA - 711014605 |
Business Phone Number: | 3184255604 |
Business Fax Number: | 3182228165 |
Mailing Address: | 1717 Irving Pl, SHREVEPORT |
State: | LA |
Postal Code: | 711014605 |
Phone Number: | 3184255604 |
Fax Number: | 3182228165 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |