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NPI · 1295319804 · NPPES-sourced

Ethan Larsen Atc, Lat

ActiveSports Medicine (Neuromusculoskeletal Medicine) Physician
NPI Number
1295319804
Type 1 · Individual
Contact
(515) 421-6223
License UT · 12298266-4810
Last Updated
Enumerated
Primary practice addressUT · 84604-3354
1055 N 300 W Ste 410Provo, UT 84604-3354
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About this NPIWhat this record shows.

NPI 1295319804 is registered to Ethan Larsen Atc, Lat, a Sports Medicine (Neuromusculoskeletal Medicine) Physician practising at 1055 N 300 W Ste 410 in Provo, Utah. Sports Medicine (Neuromusculoskeletal Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ethan Larsen Atc, Lat has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ethan Larsen Atc, Lat accepts. To confirm in-network status with your specific health plan, contact Ethan Larsen Atc, Lat directly at (515) 421-6223.

Frequently asked

Yes. NPI 1295319804 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Sports Medicine (Neuromusculoskeletal Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (515) 421-6223.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ethan Larsen Atc, Lat is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy204C00000X
Last updated
Enumerated
StatusActive
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