Mr. JAMES ROBERT LARSEN Jr. A.T.C. L.A.T.
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1669741724- Provider Type
- Individual Provider (NPI-1)
- Credentials
- A.T.C. L.A.T.
- Status
- Active
Contact & Location
- Address
- 387 N FERRIS ST APT L, POWELL, WY, 824352042
- Phone
- (307) 359-0617
Specialties & Taxonomies
Specialist/Technologist, Athletic Trainer
Primary License: WY #011