Paul Erik Larson, ATC

Athletic Trainer · Carbondale, PA

Individual Active NPI

NPI number 1417181082

Practice location

101 Brooklyn Street/Business Route 6
Carbondale, PA 18407

Phone: (570) 282-4500
Fax: (570) 281-7102

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NPI record

NPI: 1417181082
Entity type: Individual (Type 1)
Enumeration date: May 11, 2009
Last updated: May 11, 2009
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Athletic Trainer Primary	`2255A2300X`	RT002358A	PA

Mailing address

673 Great Bend Tpke
Pleasant Mount, PA 18453-4544

Phone: (570) 448-2598
Fax: (570) 281-7102

About Paul Larson

Paul Erik Larson, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 101 Brooklyn Street/Business Route 6, Carbondale, PA 18407. The NPI number 1417181082 was assigned on May 11, 2009 and the record was last updated on May 11, 2009.

Paul Larson lists a license in the registry: #RT002358A (PA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Paul Erik Larson, ATC?

The NPI number is 1417181082.

What is the phone number of Paul Larson?

The phone number listed for the practice location is (570) 282-4500.

Where is Paul Larson located?

101 Brooklyn Street/Business Route 6, Carbondale, PA 18407.

What is the taxonomy code for Paul 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.