Individual
DABNEY LARSON-HARGRAFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
ISU THOMAS B. THIELEN STUDENT HEALTH CENTER, 2647 UNION DRIVE, AMES, IA 50011
(515) 294-5801
(515) 294-1190
Mailing address
ISU THIELEN STUDENT HEALTH CENTER 2647 UNION DR, AMES, IA 50011-2029
(515) 294-2626
(515) 294-2794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03061
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18932
—
IA
01
—
30585
BCBS
IA
Enumeration date
01/17/2007
Last updated
08/03/2018
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