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

Individual provider Geriatric Physical Therapist · NPI 1053579250

Mrs. Larissa Gizelle Neal is a Geriatric Physical Therapist in Park City, Utah. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2008
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Practice location Address checks out

1640 Redstone Center Dr 200
Park City, UT 84098-7605
Phone: (888) 800-8744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 2305204903 (VA)

Record details

NPI number1053579250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 26, 2008
Last updated in NPPESMay 26, 2008