Sandra K Larson in Decorah - Geriatrics

Sandra K Larson - NPI 1659310845

Sandra K Larson is a Geriatrics in Decorah, Iowa. Sandra K Larson practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Sandra K Larson is 1659310845. The last update date is 2007-07-08.

Sandra K Larson's current location address is 704 Ridge Rd, Decorah, Iowa. You can contact this provider via phone number 5633824770 and fax number 5633824785. The mailing address for Sandra K Larson is 704 Ridge Rd, Decorah, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra K Larson
Address 704 Ridge Rd, Decorah, Iowa
Phone Number 5633824770
Fax Number 5633824785
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1659310845
Provider Enumeration Date 2006-06-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 704 Ridge Rd
City Decorah
State Iowa (IA)
Post Code 521011120
Phone Number 5633824770
Fax Number 5633824785

Provider's Primary Taxonomy Detail

Speciality Geriatrics
Taxonomy 2251G0304X
Licence No 3565
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34900 IA BLUE CROSS BLUE SHEILD
F245962 IA MIDLANDS CHOICE
TN0100 IA JOHN DEERE

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FAQs about Sandra K Larson

What is the Sandra K Larson's 1659310845?

The Sandra K Larson's NPI (National Provider Identifier) Number is 1659310845. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Sandra K Larson is located?

The Sandra K Larson is situated at the following address: 704 Ridge Rd, Decorah, IA, 521011120.

What is Sandra K Larson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Sandra K Larson's specialized field of practice is Geriatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2251G0304X.

When did Sandra K Larson receive its 1659310845 assignment?

The Sandra K Larson was assigned its 1659310845 on 2006-06-05, which is the date when this unique identifier was issued to the organization.

As of what date were the Sandra K Larson's details last updated?

The information pertaining to the Sandra K Larson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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