Whalio Doctors

NPI 1518935212

Carla Ebert Larson, ATCPASCSCS

Practitioner Athletic Trainer Menomonee Falls, WI

Practice location

Address
N91w15700 Falls Pkwy, Menomonee Falls, WI 53051-2301
Phone
(262) 255-5700
Mailing address
108 W Fransee Ln, Saukville, WI 53080-1714

Registered specialties (2)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 246-039 (WI)
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225500000X

Registry record

NPI
1518935212
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Mar 2006
Record last updated
11 Dec 2015

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.