Individual
DR. ERIK LEE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
314 SERVICE RD, SPOONER, WI 54801
(715) 635-2518
(866) 245-8064
Mailing address
314 SERVICE RD, SPOONER, WI 54801-6200
(715) 635-2518
(715) 635-2672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11879-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11879
PT LICENSE
WI
Enumeration date
09/03/2012
Last updated
07/28/2018
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