Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Makenzie Violet Larson

Individual provider Athletic Trainer · NPI 1164060364

Makenzie Violet Larson is an Athletic Trainer in Charlottesville, Virginia. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1600 Jefferson Park Ave Apt 205
Charlottesville, VA 22903-3267
Phone: (248) 953-1111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1164060364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2019
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019

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