NATHAN LARSON MS AT ATC NPI 1366949455

NPI Information

NPI: 1366949455
Provider Name: NATHAN LARSON, MS, AT, ATC
Classification: Preventive Medicine - 2083S0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
601 QUINCY ST.
ATHLETICS / PAAVO NURMI GYM
HANCOCK, MI
ZIP 49930
Phone: (906) 487-7532
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Nathan Larson, MS, AT, ATC is a sports medicine preventive medicine in Hancock, MI. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. Nathan Larson, MS, AT, ATC NPI is 1366949455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 QUINCY ST.
ATHLETICS / PAAVO NURMI GYM
HANCOCK, MI
ZIP 49930-993
Phone: (906) 487-7532
Fax: (906) 487-7527

The enumeration date for this NPI number is 4/6/2018 and was last updated on 4/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083S0010X	Preventive Medicine	Sports Medicine	2601000209	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2601000209	OTHER	MICHIGAN	STATE LICENSURE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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