Individual
MORGAN MAE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
40320 SD HIGHWAY 34, FORESTBURG, SD 57314-6424
(605) 933-0485
Mailing address
40320 SD HIGHWAY 34, FORESTBURG, SD 57314-6424
(605) 933-0485
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000028214
SD
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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