Larson, Sandra K

Larson, Sandra K is an individual health care provider with primary practice located at 516 Montgomery St , Decorah IA 52101-2720. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics is her primary health care specialty. Larson, Sandra K can be contacted via phone (563) 382-4770.

Contact Information

Primary practice address
516 Montgomery St Decorah IA 52101-2720
Phone: (563) 382-4770
Fax: (563) 382-4785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 03565 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 03565 Iowa

Profile Details

NPI number 1659310845
LBN Legal business name Larson, Sandra K
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659310845 NPPES
Iowa Other 34900 BLUE CROSS BLUE SHEILD
Iowa Other F245962 BLUE CROSS BLUE SHEILD
Iowa Other TN0100 BLUE CROSS BLUE SHEILD

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