Organization
BRIAN E. LARSON, D.C., P.C.
Active
Other names
Premier Chiropractic & Sports Injury Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL KAY LARSON (OFFICE MANAGER)
(907) 262-0801
Entity
Organization
Contact information
Practice address
189 S BINKLEY ST, SUITE 101, SOLDOTNA, AK 99669-8007
(907) 262-0801
(907) 262-0860
Mailing address
189 S BINKLEY ST, SUITE 101, SOLDOTNA, AK 99669-8007
(907) 262-0801
(907) 262-0860
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
396
AK
111NS0005X
Sports Physician Chiropractor
Primary
396
AK
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CHG029
—
AK
01
—
K163193
MEDICARE PTAN
AK
Enumeration date
09/10/2009
Last updated
01/27/2011
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