BRIAN THERALD LARSEN (NPI# 1205993961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205993961 |
| Entity Type | Individual |
| Full Name | BRIAN THERALD LARSEN |
| Credential | PT |
| Practice Address |
1300 N 500 E Logan UT 84341-2408 |
| Practice Telephone | 4357162880 |
| Mailing Telephone | 4357162880 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
352702-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990291 | Brian Larsen | Counselor | 4123 Meachem Rd, Mount Pleasant, WI 53403-3912 | 2016-05-20 |
| 1386962108 | Brian Scott Larsen | Chiropractor | 389 Nevada St., Auburn, CA 95603 | 2010-05-05 |
| 1871505966 | Brian R Larsen | Dentist | 2115 Westlake Ave, Seattle, WA 98122 | 2006-08-13 |
| 1366768533 | Brian Timothy Larsen | Internal Medicine | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2010-04-13 |
| 1083871974 | Brian Larsen | Ophthalmology | 4401 S Harlem Ave, Stickney, IL 60402-4250 | 2008-05-19 |
| 1114140779 | Brian John Larsen | Pharmacist | 10130 S State St, Sandy, UT 84070-4118 | 2007-04-11 |
| 1700908795 | Brian M Larsen | Chiropractor | 507 Knight St, Suite B, Richland, WA 99352-4258 | 2007-04-03 |
| 1538129697 | Brian D. Larsen | Internal Medicine | 800 E 28th St, Mr 11326, Minneapolis, MN 55407-3723 | 2006-03-24 |
| 1790776383 | Brian K Larsen | Anesthesiology | 700 West Ave S, La Crosse, WI 54601-4783 | 2005-11-02 |
| Street Address |
1300 N 500 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210248 | Trek Lyons | Family Medicine | 1300 N 500 E, Suite 130, Logan, UT 84341-2408 | 2005-07-28 |
| 1285277103 | Allison Ewing Saunders | Physical Therapy Assistant | 1300 N 500 E, Logan, UT 84341-2408 | 2019-10-23 |
| 1649790114 | Candace Lee Slater | Physical Therapist | 1300 N 500 E, Logan, UT 84341-2408 | 2017-06-26 |
| 1972048569 | Lindsey Hunsaker | Speech-Language Pathologist | 1300 N 500 E, Logan, UT 84341-2408 | 2017-01-05 |
| 1629510086 | Sarah Harrison | Physical Therapist | 1300 N 500 E, Logan, UT 84341-2408 | 2016-11-15 |
| 1346612983 | Jamie Mcfarland | Nurse Practitioner | 1300 N 500 E, Suite 320, Logan, UT 84341-2408 | 2015-10-22 |
| 1760864193 | Mark Tureson | Physical Therapy Assistant | 1300 N 500 E, Logan, UT 84341-2408 | 2015-06-22 |
| 1922491430 | Kaye Marie Smith | Nurse Practitioner | 1300 N 500 E, Logan, UT 84341-2408 | 2015-03-07 |
| 1467851998 | Ryan Buck | Nurse Practitioner | 1300 N 500 E, Suite 320, Logan, UT 84341-2408 | 2014-08-20 |
| 1801114459 | Ihc Health Services Inc | Internal Medicine | 1300 N 500 E, Suite 320, Logan, UT 84341-2408 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336631597 | Andrew Christensen | Physical Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940670 | Austin Jay Nielsen | Physical Therapist | 155 W Canyon Crest Rd Ste 100, Alpine, UT 84004-2031 | 2019-09-04 |
| 1669934378 | Heidi Olsen Tidwell | Physical Therapist | 1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 | 2019-04-02 |
| 1689148454 | Sargent Doil Barnett | Physical Therapist | 822 Turf Farm Rd Unit 3, Payson, UT 84651-5797 | 2019-01-15 |
| 1770054918 | Craft Physical Therapy | Physical Therapist | 537 W 600 S, Salt Lake City, UT 84101-2249 | 2018-12-16 |
| 1902390123 | Andrea Marie Hendricks Harper | Physical Therapist | 98 N 1100 E Ste 402, American Fork, UT 84003-2951 | 2018-06-20 |
| 1568960037 | Northern Holdings | Physical Therapist | 6321 S Redwood Rd Ste 100, Taylorsville, UT 84123-6799 | 2018-01-30 |
| 1134636269 | Elevation Physical Therapy | Physical Therapist | 985 W Riverdale Rd Ste 2, Riverdale, UT 84405-5601 | 2018-01-10 |
| 1336652957 | Brian Lewis Wike I | Physical Therapist | 1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 | 2017-11-06 |
| 1538616230 | Michelle Smith | Physical Therapist | 1794 Olympic Pkwy, Suite 140, Park City, UT 84098-6387 | 2016-09-09 |
| 1558712455 | Tyler Landgren | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRIAN THERALD LARSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.