Individual
JENNIE C. LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2401 CANTERBURY DR, HAYS, KS 67601-2345
(785) 628-3241
Mailing address
2401 CANTERBURY DR, HAYS, KS 67601-2345
(785) 628-3241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03409
KS
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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