Individual provider · Type 1 NPI
Nathan Larson, MS, AT, ATC
Sports Medicine (Preventive Medicine) Physician · Hancock, MI
NPI number
1366949455
Active
Practice location
601 Quincy St., Athletics / Paavo Nurmi Gym
Hancock, MI 49930-4993
Fax (906) 487-7527
Mailing address
600 Macinnes Dr Ste 201
Houghton, MI 49931-1144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | 2601000209 (MI) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
About NPI 1366949455
Nathan Larson, MS, AT, ATC's National Provider Identifier is 1366949455, issued on Apr 6, 2018. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Hancock, MI. The record was last updated on Apr 6, 2018.