Larson, Karla Marie
Larson, Karla Marie is an individual health care provider with primary practice located at 729 Park St , Antigo WI 54409-2745. 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, Karla Marie can be contacted via phone (715) 623-2356.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1952-024 | Wisconsin |
Profile Details
| NPI number | 1376717264 |
|---|---|
| LBN Legal business name | Larson, Karla Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 22nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376717264 | NPPES |
| Wisconsin | Other | 1952-024 | WI PROFESSIONAL PT LICENSE |
| Wisconsin | MEDICAID | 40020100 | WI PROFESSIONAL PT LICENSE |
Popular Providers
-
Depew, Ami
720 Ackley Street , Antigo WI 54409 -
Gibson, Brandon
112 E 5Th Ave , Antigo WI 54409-2710 -
Brandt, Jessica Marie
110 E 5Th Ave Department Of Physical Therapy, Antigo WI 54409-2710 -
Will, Brenda
720 Ackley Street , Antigo WI 54409 -
Miller, Rachael Elizabeth
112 E 5Th Ave , Antigo WI 54409-2710 -
Warren, Emily
112 E 5Th Ave , Antigo WI 54409-2710 -
Skarlupka, Brittney
720 Ackley St Unit 13 , Antigo WI 54409-2405 -
Hoffman, Mindy
112 E 5Th Ave , Antigo WI 54409-2710