Organization · Type 2 NPI

Larson Chiropractic, LLC

Sports Physician Chiropractor · Wasilla, AK

NPI number 1801176672 Active

Practice location

1001 E Bogard Rd
Wasilla, AK 99654-7114

Fax (907) 376-9225

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	435 (AK)
Sports Physician Chiropractor Primary	111NS0005X	435 (AK)

Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

19 other providers at this address

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NPI record

NPI: 1801176672
Entity type: Organization (Type 2)
Issued: Aug 24, 2011
Last updated: Dec 21, 2020
Status: Active
Subpart: Yes of Spine and Sports Injury Center, LLC

Other names

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Larson Chiropractic · other name

Authorized official

Dr. Kristofer D Larson, DC
Organizer
(907) 376-2225

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801176672

Larson Chiropractic, LLC's National Provider Identifier is 1801176672, issued on Aug 24, 2011. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Wasilla, AK. The record was last updated on Dec 21, 2020.