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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE ANTHONY LARSON, DPT

Active

KYLE ANTHONY LARSON, DPT is a Physical Therapy Assistant healthcare provider located in CLEAR LAKE, Wisconsin. NPI 1245853175 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CLEAR LAKE, WI

Registration Details

NPI Number
1245853175
Provider Type
Individual
Gender
Male
NPI Issued
May 27, 2020 (6.1759640097774 yrs)
Last Updated
May 27, 2020
License
14996-24 (WI)

Practice Information

Address
417 3RD AVENUE
CLEAR LAKE, WI, 540058905
Browse WI providers · Browse ZIP 54005
Phone
7152634103
Fax
7152634110
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CLEAR LAKE, WI

Name Credential NPI
EMILY J MONSON MSPT 1225042013
MRS. DEBORAH SUE CUPER DPT 1689855355
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.