Larson, Ian Michael

Larson, Ian Michael is an individual health care provider with primary practice located at 4025 E Chandler Blvd Ste 60 , Phoenix AZ 85048-8833. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Larson, Ian Michael can be contacted via phone (480) 417-5271.

Contact Information

Primary practice address
4025 E Chandler Blvd Ste 60 Phoenix AZ 85048-8833
Phone: (480) 417-5271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 11525 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 11525 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 11525 Arizona

Profile Details

NPI number 1467831073
LBN Legal business name Larson, Ian Michael
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2015
Last updated Nov 21st, 2024 - about 2 years 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.

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