Individual
DR. KRISTOFER DANIEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1001 E BOGARD RD, WASILLA, AK 99654
(907) 376-2225
(907) 376-9225
Mailing address
1001 E BOGARD RD, WASILLA, AK 99654
(907) 376-2225
(907) 376-9225
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
435
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH0070
—
AK
Enumeration date
11/13/2006
Last updated
01/26/2025
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