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Contact Information

CARLA E LARSON, ATC, PAS, CSCS
N91W15700 FALLS PKWY
MENOMONEE FALLS, WI53051-2301
 Phone: 262-255-5700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for CARLA E LARSON · (Female)

NPI # 1518935212
Status Active
Credentials ATC, PAS, CSCS
Entity Individual
Enumeration date 03/09/2006
Last updated 12/11/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 246-039
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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