Whalio Doctors

NPI 1487860912

Jared Michael Larsen, DC

Practitioner Nutritionist Roseville, MN

Practice location

Address
1700 Highway 36 W 400, Roseville, MN 55113-4034
Phone
(651) 636-0055

Registered specialties (2)

Nutritionist Primary
Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence N204 (MN)
Chiropractor
Chiropractic Providers Taxonomy 111N00000X Licence 4893 (MN)

Registry record

NPI
1487860912
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 May 2007
Record last updated
30 Jan 2025

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.