Dr. Ian Michael Larson
Physical Therapist - Neurology Physical Therapist - Geriatrics Physical Therapist - Orthopedic
15640 N 7th St Ste 6
Phoenix
, Arizona 85022-3538
Dr. Ian Michael Larson
Physical Therapist - Neurology Physical Therapist - Geriatrics Physical Therapist - Orthopedic
15640 N 7th St Ste 6
Phoenix
, Arizona 85022-3538
(218) 966-0700
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About
Features
Specialties
- Physical Therapist - Geriatrics
- Physical Therapist - Neurology
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Ian Michael Larson
- 16075 W Lincoln St
- Goodyear, AZ
- Zip : 85338-2828
- Phone : (218) 966-0700
Second Address
- Dr. Ian Michael Larson
- 15640 N 7th St Ste 6
- Phoenix, AZ
- Zip : 85022-3538
- Fax : (602) 439-3802
- Phone : (602) 439-3800
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251G0304X | Physical Therapist - Geriatrics | 11525 | AZ |
| N | 2251N0400X | Physical Therapist - Neurology | 11525 | AZ |
| Y | 2251X0800X | Physical Therapist - Orthopedic | 11525 | AZ |
National Provider Identifier
| NPI | 1467831073 |
|---|---|
| Provider Name | Dr. Ian Michael Larson |
| First Address | Goodyear, AZ 85338-2828 |
| Second Address | Phoenix, AZ 85022-3538 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2015 |
| Last Update Date | 28/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.