Individual provider · Type 1 NPI
Ethan Larsen, ATC, LAT
Sports Medicine (Neuromusculoskeletal Medicine) Physician · Provo, UT
Practice location
1055 N 300 W Ste 410
Provo, UT 84604-3354
Mailing address
273 W 590 N
Vineyard, UT 84059-4812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary | 204C00000X | 12298266-4810 (UT) |
Sports Medicine (Neuromusculoskeletal Medicine) Physician: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sp…
4 other providers at this address
About NPI 1295319804
Ethan Larsen, ATC, LAT's National Provider Identifier is 1295319804, issued on May 10, 2021. The primary taxonomy on file is Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X), and the practice location is in Provo, UT. The record was last updated on May 10, 2021.