Individual
SARA MICHELLE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
150 UNIVERSITY BLVD, JAYNE STADIUM, MOREHEAD, KY 40351-1684
(606) 783-2790
Mailing address
150 UNIVERSITY BLVD, JAYNE STADIUM, MOREHEAD, KY 40351-1684
(606) 783-2790
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT585
KY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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