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

MARK LARAWAY, DPT

Active

MARK LARAWAY, DPT is a Physical Therapy Assistant healthcare provider located in BRECKENRIDGE, Minnesota. NPI 1548713357 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BRECKENRIDGE, MN

Registration Details

NPI Number
1548713357
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2016 (9.9029563447341 yrs)
Last Updated
Jun 30, 2022
Licenses
3626 (NE)
10615 (MN)

Practice Information

Address
430 5TH ST N
BRECKENRIDGE, MN, 565201426
Browse MN providers · Browse ZIP 56520
Phone
2186417725
Fax
2186416625
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BRECKENRIDGE, MN

Name Credential NPI
MS. TERA DEEANN PAULSON PT 1609829621
MRS. SHAWN MARIE KRAUSE ROBERTS PT 1861449019
DENISE RITA JELINEK PT 1366581191
MRS. REBECCA SUSAN DOCKTER PT 1902009491
STEPHEN ROBERT YOUNG P.T. 1982883401
DR. BENJAMIN R GUCK PT, ATC 1598928269
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.