Individual
RHODA M LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT PTA
Contact information
Practice address
12065 W JANESVILLE RD, SUITE 102, HALES CORNERS, WI 53130-2368
(414) 940-6820
Mailing address
9407 W MITCHELL ST, WEST ALLIS, WI 53214-4154
(414) 940-6820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1298-019
WI
225700000X
Massage Therapist
Primary
2135-146
WI
Other
Enumeration date
09/04/2007
Last updated
08/31/2016
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