Brian Therald Larsen in Logan - Orthopedic
Brian Therald Larsen - NPI 1205993961
Brian Therald Larsen is a Orthopedic in Logan, Utah. Brian Therald Larsen practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Brian Therald Larsen is 1205993961. The last update date is 2007-07-08.
Brian Therald Larsen's current location address is 1300 N 500 E, Logan, Utah. You can contact this provider via phone number 4357162880. The mailing address for Brian Therald Larsen is 1300 N 500 E, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Therald Larsen |
|---|---|
| Address | 1300 N 500 E, Logan, Utah |
| Phone Number | 4357162880 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1205993961 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1300 N 500 E |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843412408 |
| Phone Number | 4357162880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 352702-2401 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Post Comment/ Review Below
What is the unique identifier code issued to Brian Therald Larsen by the Centers for Medicare & Medicaid Services (CMS)?
The Brian Therald Larsen has been assigned the NPI (National Provider Identifier) 1205993961. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Brian Therald Larsen?
The Brian Therald Larsen is physically situated at 1300 N 500 E, in the city of Logan, state of UT, with the postal code 843412408.
What is the Brian Therald Larsen's specialty and taxonomy code?
The Brian Therald Larsen's specialty is Orthopedic, and the corresponding taxonomy code is 2251X0800X.
When did Brian Therald Larsen receive its 1205993961 assignment?
The Brian Therald Larsen was assigned its 1205993961 on 2007-01-02, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Brian Therald Larsen most recently updated or revised?
The details related to Brian Therald Larsen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.