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NPI Code Detail

MEDICARE: CHRISTOPHER MICHAEL LARRABEE DPT

MEDICARE:   CHRISTOPHER MICHAEL LARRABEE  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist11297601-2401UT
2225100000XPhysical Therapist4033NV

General Provider Information

NPI Number : 1386203750
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER MICHAEL LARRABEE DPT
Provider Business Mailing Address
First Line : 340 FALCON RIDGE PKWY BLDG 500
Second Line :
City : MESQUITE
State : NV
Zip : 89027-8850
Country : US
Telephone Number : 702-346-3105
Fax Number : 702-346-3544
Provider Business Practice Location Address
First Line : 617 E RIVERSIDE DR STE 303
Second Line :
City : SAINT GEORGE
State : UT
Zip : 84790-8722
Country : US
Telephone Number : 435-673-4303
Fax Number : 435-673-4003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 05/20/2021

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Directions to “ CHRISTOPHER MICHAEL LARRABEE DPT” Practice Location

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