Larson, Amy L
Larson, Amy L is an individual health care provider with primary practice located at 2920 Superior Ave , Sheboygan WI 53081-1944. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Larson, Amy L can be contacted via phone (920) 458-8707.Contact Information
Primary practice address
2920 Superior Ave
Sheboygan WI 53081-1944
Phone: (920) 458-8707
Fax: (920) 452-6107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3142 | Wisconsin |
Profile Details
| NPI number | 1487642088 |
|---|---|
| LBN Legal business name | Larson, Amy L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487642088 | NPPES |
| Wisconsin | MEDICAID | 40161600 |
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