Kelly Larson in Williston - Physical Therapy Assistant

Kelly Larson - NPI 1528190998

Kelly Larson is a Physical Therapy Assistant in Williston, North Dakota. Kelly Larson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kelly Larson is 1528190998. The last update date is 2007-07-08.

Kelly Larson's current location address is 1301 15th Ave W, Williston, North Dakota. You can contact this provider via phone number 7017747400 and fax number 7017747479. The mailing address for Kelly Larson is 1301 15th Ave W, Williston, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Larson
Address 1301 15th Ave W, Williston, North Dakota
Phone Number 7017747400
Fax Number 7017747479
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1528190998
Provider Enumeration Date 2007-03-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1301 15th Ave W
City Williston
State North Dakota (ND)
Post Code 588013821
Phone Number 7017747400
Fax Number 7017747479

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 643
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Kelly Larson

What is the Kelly Larson's unique identification number?

The Kelly Larson has been assigned the NPI (National Provider Identifier) Number 1528190998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Kelly Larson's facilities are situated?

The facilities of Kelly Larson are physically located at the following address: 1301 15Th Ave W, Williston, ND, 588013821.

What is the area of specialization for Kelly Larson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kelly Larson is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1528190998 to Kelly Larson?

The Centers for Medicare & Medicaid Services assigned the 1528190998 to Kelly Larson on 2007-03-12.

As of what date was the information regarding Kelly Larson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kelly Larson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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