Derek Larsen, MOTR/L

NPI 1649813809 · on the registry since 2019

Practice

Address: 76 S 500 E
Salt Lake City, UT 84102
Phone: (801) 359-0050
Organisation at this address: Emeritus Corporation
S-H Opco Salt Lake City, Llc
S-H Opco Salt Lake City, Llc
City Creek Senior Living Llc
S-H Opco Salt Lake City, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-12-15

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