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Contact Information

KALIE A LARSON, L.M.T.
370 S 200 E
BSMT
PROVO, UT84606-4608
 Phone: 509-389-4172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KALIE A LARSON · (Female)

NPI # 1427306752
Status Active
Credentials L.M.T.
Entity Individual
Enumeration date 08/16/2012
Last updated 08/16/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 8334450-4701
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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