Individual provider · Type 1 NPI

Jamie Lynn Larsen, DPT

Pediatric Physical Therapist · Clarkston, WA

NPI number 1720394174 Active

Practice location

303 Bridge St Ste B
Clarkston, WA 99403-2921

Mailing address

2261 Deer Pointe Dr
Clarkston, WA 99403-5005

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT-2265 (ID)
Pediatric Physical Therapist 2251P0200XPT.PT.00010795 (WA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

About NPI 1720394174

Jamie Lynn Larsen, DPT's National Provider Identifier is 1720394174, issued on Aug 24, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Clarkston, WA. The record was last updated on Oct 15, 2026.