SearchUtahSports Medicine (Neuromusculoskeletal Medicine) Physician

Ethan Larsen, ATC, LAT

NPI 1295319804 · on the registry since 2021

Practice

Address
1055 N 300 W Ste 410
Provo, UT 84604
Phone
(515) 421-6223
Organisation at this address
Thyroid Clinic Llc
Julie Grover Md Pc
Loran D Cook Md Pc
Loran D Cook Md Pc
Peak Ent Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
119

Registry record

Primary taxonomy
Sports Medicine (Neuromusculoskeletal Medicine) Physician
204C00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-10

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