Larson, Kyle Anthony
Larson, Kyle Anthony is an individual health care provider with primary practice located at 417 3Rd Avenue , Clear Lake WI 54005-8905. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Larson, Kyle Anthony can be contacted via phone (715) 263-4103.Contact Information
Primary practice address
417 3Rd Avenue
Clear Lake WI 54005-8905
Phone: (715) 263-4103
Fax: (715) 263-4110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 14996-24 | Wisconsin |
Profile Details
| NPI number | 1245853175 |
|---|---|
| LBN Legal business name | Larson, Kyle Anthony |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2020 |
| Last updated | May 27th, 2020 - about 5 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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