Zackery Larsen, CPSS

NPI 1124909452 · on the registry since 2025 · sole proprietor

Practice

Address: 1336 S 1100 E
Salt Lake City, UT 84105
Phone: (385) 246-2522
Fax: (801) 810-1343
Organisation at this address: Moonlit
Intuitive Athlete
Chezdawn Healing And Wellness
Sideline Sport Psychology Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah