NPI 1518935212
Carla Ebert Larson, ATCPASCSCS
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 Specialist/Technologist
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.