Mackenzie A Larson
Mackenzie A Larson is an Athletic Trainer in Fort Lupton, Colorado. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
218 4th StFort Lupton, CO 80621-2016
Phone: (303) 710-0903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1477218014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 8, 2021 |
| Last updated in NPPES | November 8, 2021 |
| Certification date | November 8, 2021 |
| Mailing address | 218 4th St, Fort Lupton, CO 80621-2016 |