# MR. LARRY NELS LARSEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497740088
- **Gender:** Man
- **Credential:** P.T., A.T.C., S.T.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 0321 | LA | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00321 | F A RICHARDS INSURANCE | LA |
| 01 | — | 0321 | PHYSICAL THERAPY LICENSE\# | LA |
| 01 | — | 09098 | BC/BS OF LA GROUP \# | LA |
| 05 | — | 1112143 | — | LA |
| 01 | — | 220610 | METLIFE HEALTH CARE | LA |
| 01 | — | 52161 | BC/BS OF LA INDIVIDUAL \# | LA |
| 01 | — | PT0321 | CLAIMS MANAGEMENT INC. | LA |