Taxonomy Code 204C00000X(204c00000x)
Sports Medicine (Neuromusculoskeletal Medicine) Physician. Providers: 1
Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
ATC, LAT Ethan Larsen |
Individual |
1055 N 300 W Ste 410 Provo, UT |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 204C00000X |
| Display Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| Taxonomy Group | Allopathic & Osteopathic Physicians |
| Taxonomy Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition | Definition to come. |
| Effective Date | September 30, 2009 |