Krystyna Larson in Evergreen Park - Physical Therapist

Krystyna Larson - NPI 1366505851

Krystyna Larson is a Physical Therapist in Evergreen Park, Illinois. Krystyna Larson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Krystyna Larson is 1366505851. The last update date is 2007-07-10.

Krystyna Larson's current location address is 3900 W 95th St, Evergreen Park, Illinois. You can contact this provider via phone number 7084237900 and fax number 7084237999. The mailing address for Krystyna Larson is 3900 W 95th St, Evergreen Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Krystyna Larson
Address 3900 W 95th St, Evergreen Park, Illinois
Phone Number 7084237900
Fax Number 7084237999
Sole Proprietor N
Credentials P.T., CLT

NPI Number Detail

NPI Number 1366505851
Provider Enumeration Date 2006-12-18
Last Updated Date 2007-07-10

Provider Mailing Address Detail

Address 3900 W 95th St
City Evergreen Park
State Illinois (IL)
Post Code 608051922
Phone Number 7084237900
Fax Number 7084237999

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 05002424A
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00387674 IN RAILROAD MEDICARE

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FAQs about Krystyna Larson

What is the unique 10-digit identifier code assigned to Krystyna Larson by the Centers for Medicare & Medicaid Services?

The Krystyna Larson has been issued the NPI (National Provider Identifier) 1366505851 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Krystyna Larson is physically located?

The Krystyna Larson is situated at the following address: 3900 W 95Th St, Evergreen Park, IL 608051922.

What is Krystyna Larson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Krystyna Larson is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.

On what date did the Krystyna Larson receive the assignment of its 1366505851 from the Centers for Medicare & Medicaid Services?

The Krystyna Larson was issued its 1366505851 by the Centers for Medicare & Medicaid Services on 2006-12-18.

As of what date were the details pertaining to Krystyna Larson last refreshed?

The information related to the Krystyna Larson, including its address, specialty, and other relevant details, was last updated on 2007-07-10.

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