Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL ERIK LARSON, ATC
Active Sole ProprietorPAUL ERIK LARSON, ATC is a Athletic Trainer healthcare provider located in CARBONDALE, Pennsylvania. NPI 1417181082 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CARBONDALE, PA
Registration Details
- NPI Number
- 1417181082
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2009 (17.251616545727 yrs)
- Last Updated
- May 11, 2009
- License
-
RT002358A (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 BROOKLYN STREET/BUSINESS ROUTE 6CARBONDALE, PA, 18407Browse PA providers · Browse ZIP 18407
- Phone
- 5702824500
- Fax
- 5702817102
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.