Mr. James Robert Larsen Jr., ATCLAT
Mr. James Robert Larsen Jr., ATCLAT is an Athletic Trainer in Powell, Wyoming. Licensed in Wyoming. Registered with an NPI since 2011.
- Licensed in
- WY
- In the registry since
- 2011
Practice location Address checks out
387 N Ferris St Apt LPowell, WY 82435-2042
Phone: (307) 359-0617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 011 (WY) |
|---|
Record details
| NPI number | 1669741724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATCLAT |
| Sole proprietor | No |
| NPI enumerated | December 19, 2011 |
| Last updated in NPPES | December 19, 2011 |
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-
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