Connor Alan Larson, ATC

Athletic Trainer · Watertown, WI

Individual Active NPI

NPI number 1407411051

Practice location

811 S 10TH St
Watertown, WI 53094-4905
Phone
(920) 428-5998

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NPI record

NPI
1407411051
Entity type
Individual (Type 1)
Enumeration date
May 8, 2019
Last updated
July 22, 2021
Certified
July 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

About Connor Larson

Connor Alan Larson, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 811 S 10TH St, Watertown, WI 53094-4905. The NPI number 1407411051 was assigned on May 8, 2019 and the record was last updated on July 22, 2021.

Frequently asked questions

What is the NPI number of Connor Alan Larson, ATC?

The NPI number is 1407411051.

What is the phone number of Connor Larson?

The phone number listed for the practice location is (920) 428-5998.

Where is Connor Larson located?

811 S 10TH St, Watertown, WI 53094-4905.

What is the taxonomy code for Connor Larson?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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