Individual
MR. KEITH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10450 PARK MEADOWS DR., SUITE 103, LONE TREE, CO 80124
(303) 754-5222
(303) 754-5201
Mailing address
FILE 50469, LOS ANGELES, CA 90074-0469
(530) 778-0200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6389
CO
Other
Enumeration date
07/26/2006
Last updated
10/23/2007
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