NPI 1205588753
Tracy Larsen
Practice location
- Address
- 1527 Northway Dr, Saint Cloud, MN 56303-1221
- Phone
- (320) 650-3082
- Mailing address
- 10916 90th Ave, Milaca, MN 56353-3886
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1205588753
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Jan 2022
- Record last updated
- 25 Jan 2022
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.