Individual
TODD KRISTIAN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
258 S MAIN ST STE 210, LOGAN, UT 84321-5768
(435) 383-6120
(435) 557-8003
Mailing address
258 S MAIN ST STE 210, LOGAN, UT 84321-5768
(435) 383-6120
(435) 557-8003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
119877-2401
UT
Other
Enumeration date
04/19/2023
Last updated
07/13/2023
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