# MRS. CARLA EBERT LARSON

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

## Provider details

- **NPI number:** 1518935212
- **Gender:** F
- **Credential:** ATC, PAS, CSCS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225500000X | Respiratory/Developmental/Rehabilitative Specialist/Technologist | — | NULL | — |
| 2255A2300X | Athletic Trainer | 246-039 | WI | Yes |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 12/11/2015