Larson, Trista

Larson, Trista is an individual health care provider with primary practice located at 2502 S. Ashland Ave. , Green Bay WI 54304. 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, Trista can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
2502 S. Ashland Ave. Green Bay WI 54304
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11269 Wisconsin

Profile Details

NPI number 1891925830
LBN Legal business name Larson, Trista
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2009
Last updated Sep 29th, 2016 - about 9 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.

Request for update

Popular Providers