Individual
D MYCHELE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PTA
Contact information
Practice address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 597-0822
Mailing address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
(719) 597-0822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015689
CO
225200000X
Physical Therapy Assistant
2050290
TX
Other
Enumeration date
09/15/2025
Last updated
09/16/2025
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