Ethan Larsen, ATC, LAT
Ethan Larsen, ATC, LAT is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Provo, Utah. Licensed in Utah. Registered with an NPI since 2021.
- Licensed in
- UT
- In the registry since
- 2021
What do these letters mean?
Practice location Address checks out
1055 N 300 W Ste 410Provo, UT 84604-3354
Phone: (515) 421-6223
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Specialties & licences
| Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) | Taxonomy 204C00000X · Licence 12298266-4810 (UT) |
|---|
Record details
| NPI number | 1295319804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATC , LAT |
| Sole proprietor | No |
| NPI enumerated | May 10, 2021 |
| Last updated in NPPES | May 10, 2021 |
| Certification date | May 10, 2021 |
Other providers in Provo
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Dr. Hawkins Boone Mecham, DO
2162 S 180 E # 1000, Provo, UT 84606-7370 · (385) 380-3425