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

COREY M LARSON, PT, DPT, ATC, CSCS

Active

COREY M LARSON, PT, DPT, ATC, CSCS is a Physical Therapy Assistant healthcare provider located in WOODBURY, Minnesota. NPI 1336689363 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WOODBURY, MN

Registration Details

NPI Number
1336689363
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2017 (9.4871702555085 yrs)
Last Updated
Nov 6, 2023
Licenses
15631-24 (WI)
13257 (MN)

Practice Information

Address
4040 RADIO DR
WOODBURY, MN, 551293237
Browse MN providers · Browse ZIP 55129
Phone
6514398804
Fax
6514390232
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in WOODBURY, MN

Name Credential NPI
DEBORAH M. REAGEN P.T. 1710960588
DR. MARIAH JOY OHLSEN DPT 1588630479
MS. MARY KATHLEEN DELACY PT 1003883208
MARY R FELLOWS PT 1447229075
JESSICA A HAUPT PT 1548284862
KATHRYN ANNE GAVIN PT 1760494553
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.