NPI 1124111372

Robert J Larsen, MPTATG

Practitioner Physical Therapist Bountiful, UT

Practice location

Address: 1551 S Renaissance Twn Dr Suite 420, Bountiful, UT 84010
Phone: (801) 295-8999
Fax: (801) 292-4168

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2780262401 (UT)

Other Physical Therapist providers in Utah →

Registry record

NPI: 1124111372
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.