NPI 1184953739

Matthew Wayne Larsen, RDNCDE

Practitioner Registered Dietitian Kalispell, MT

Practice location

Address: 210 Sunnyview Ln STE 103, Kalispell, MT 59901
Phone: (406) 257-3872
Fax: (406) 758-7077
Mailing address: 210 Sunnyview Ln STE 103, Kalispell, MT 59901-3128

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 59321 (MT)

Other Dietitian, Registered providers in Montana →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Registry record

NPI: 1184953739
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2009
Record last updated: 19 Mar 2024

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.