Individual
KATHARINE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, BCHN
Contact information
Practice address
12301 86TH PL SE, SNOHOMISH, WA 98290-6260
(425) 653-4308
Mailing address
12301 86TH PL SE, SNOHOMISH, WA 98290-6260
(425) 653-4308
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU61214108
WA
174400000X
Specialist
PT00010647
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018120
—
WA
Enumeration date
08/05/2007
Last updated
05/09/2024
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