ETHAN LARSEN, ATC, LAT

Sports Medicine (Neuromusculoskeletal Medicine) Physician · PROVO, UT

Individual Active NPI 1295319804

Taxonomy & licensure

Specialty	Code	Primary	License	State
Sports Medicine (Neuromusculoskeletal Medicine) Physician	204C00000X	✓	12298266-4810	UT

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.