Chandra Rae Larson (NPI# 1154752301, PAC ID# 7911137542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1154752301 |
| PAC ID by PECOS | 7911137542 |
| Professional Enrollment ID | I20140522002083 |
| Full Name | Chandra Rae Larson |
| Organization Legal Name | CHIROSPORT PC |
| Address |
128 E Holly Blvd Brandon SD 57005-1114 |
| Phone Number | 6055828800 |
| Gender | F |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2013 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 6406748110 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 128 E Holly Blvd, Brandon, SD 57005-1114 | 6055828800 | CHIROSPORT PC |
| 6705 S Cliff Ave, Sioux Falls, SD 57108-8585 | 6053346656 | CHIROSPORT PC |
| Organization Legal Name | CHIROSPORT PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason D Henry | Chiropractic | Chirosport PC | 6705 S Cliff Ave, Sioux Falls, SD 57108-8585 |
| Ross A Mcdaniel | Chiropractic | Chirosport PC | 128 E Holly Blvd, Brandon, SD 57005-1114 |
| Christopher N Mikkelsen | Chiropractic | Chirosport PC | 128 E Holly Blvd, Brandon, SD 57005-1114 |
| Street Address |
128 E HOLLY BLVD |
| City | BRANDON |
| State | SD |
| Zip | 57005-1114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ross A Mcdaniel | Chiropractic | Chirosport PC | 128 E Holly Blvd, Brandon, SD 57005-1114 |
| Christopher N Mikkelsen | Chiropractic | Chirosport PC | 128 E Holly Blvd, Brandon, SD 57005-1114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip Myles Dixon | Chiropractic | 220 E Holly Blvd, Brandon, SD 57005-1171 | |
| Cody Lee Kruckenberg | Chiropractic | 312 E Holly Blvd, Brandon, SD 57005-1240 | |
| Richard G Briggs | Family Medicine | Avera Mckennan | 1101 E Holly Blvd, Brandon, SD 57005-1426 |
| Michelle L Mcelroy | Family Medicine | Avera Mckennan | 1101 E Holly Blvd, Brandon, SD 57005-1426 |
| Samuel Max Zollicker | Family Medicine | Avera Mckennan | 1101 E Holly Blvd, Brandon, SD 57005-1426 |
| Deborah M Eberspacher | Physical Therapy | Avera Mckennan | 103 N Splitrock Blvd, Brandon, SD 57005-1529 |
| Paul Anthony Horner | Optometry | Tkc Optical Inc | 105 N Splitrock Blvd, Exact Eye Care, Brandon, SD 57005-1529 |
| Kathryn J Koehn | Physical Therapy | Avera Mckennan | 103 N Splitrock Blvd, Brandon, SD 57005-1529 |
| Stephanie A Rahn | Physical Therapy | Avera Mckennan | 103 N Splitrock Blvd, Brandon, SD 57005-1529 |
| Jena Haigh | Physical Therapy | Avera Mckennan | 103 N Splitrock Blvd, Brandon, SD 57005-1529 |
| Find all physicians in zip 57005 | |||
| City | BRANDON |
| Zip Code | 57005 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BRANDON + CHIROPRACTIC |
Please comment or provide details below to improve the information on Chandra Rae Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.