IndividualActive
Elizabeth Larsen, B.S.
NPI 1265892210 · Developmental Therapist · Ponderay, ID
Provider details
- NPI number
- 1265892210
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- B.S.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
207 Larkspur St
Ponderay, ID 83852-5011
Phone: (208) 610-8652
Approximate (ZIP-level) locationGet directions
Mailing address
207 Larkspur St
Ponderay, ID 83852-5011
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2016-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.