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

Tatiana Suzanne Larsen, TRT

Individual provider Recreational Therapist Assistant · NPI 1912718628

Tatiana Suzanne Larsen, TRT is a Recreational Therapist Assistant in Provo, Utah. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

1001 N 500 W
Provo, UT 84604-3305
Phone: (801) 977-9661
Show map & directions

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

Specialties & licences

Recreational Therapist Assistant (primary) Taxonomy 226000000X · Licence 141992834003 (UT)

Record details

NPI number1912718628
Entity typeIndividual (Type 1)
GenderFemale
Credentials TRT
Sole proprietorNo
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025