Jeffrey Larson, PT-ATC is a
Physical Therapist based in Tioga, North Dakota. Jeffrey Larson is licensed to practice in North Dakota (license number ND0956) and his current practice location is
810 N Welo St, Tioga, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 664-3305.
NPI number for Jeffrey Larson is 1073104956 and his current mailing address is Po Box 159, Tioga, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073104956.
Healthcare Provider's Profile
| Full Name | Jeffrey Larson |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 810 N Welo St, Tioga, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073104956
- Provider Enumeration Date: 02/02/2021
- Last Update Date: 02/04/2021
Medical Identifiers
Medical identifiers for Jeffrey Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073104956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | ND0956 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeffrey Larson, PT-ATC
Po Box 159,
Tioga, ND 58852-0159
Ph: (701) 664-3305 | Jeffrey Larson, PT-ATC
810 N Welo St,
Tioga, ND 58852-7157
Ph: (701) 664-3305 |
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