NATHAN LARSON MS, AT, ATC
NPI 1366949455
Preventive Medicine - Sports Medicine in Hancock, MI

Q: What is Nathan Larson's NPI number?

The NPI number for Nathan Larson is 1366949455. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Q: What is Nathan Larson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Larson was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2018

601 QUINCY ST., ATHLETICS / PAAVO NURMI GYM, HANCOCK, MI 49930(906) 487-7532(906) 487-7527 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nathan Larson Ms, At, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN LARSON MS, AT, ATC (NPI 1366949455) is an individual sports medicine provider in Hancock, Michigan, licensed in Michigan (2601000209) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1366949455

Entity TypeIndividualMale

Primary Taxonomy2083S0010X

Provider Legal NameNATHAN LARSONCredential: MS, AT, ATC

Location Address601 QUINCY ST., ATHLETICS / PAAVO NURMI GYMHancock, MI 49930-4993

Mailing Address600 Macinnes Dr Ste 201Houghton, MI 49931-1144 · (906) 487-7532 · Fax (906) 487-7527

Phone(906) 487-7532

Fax(906) 487-7527

Sole ProprietorYes

Enumeration DateApril 6, 2018

✔ NPI 1366949455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083S0010X

License✔ Licensed in MI · 2601000209

Definition

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

601 QUINCY ST., Hancock, MI 49930

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Other Identifiers 1

Other2601000209MI · State Licensure

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Larson's NPI number?

The NPI number for Nathan Larson is 1366949455. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Nathan Larson located?

Nathan Larson practices at 601 Quincy St. Athletics / Paavo Nurmi Gym, Hancock, MI 49930. The listed phone number is (906) 487-7532.

What is Nathan Larson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Nathan Larson was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.