IndividualActive
Nathan Larson, MS, AT, ATC
NPI 1366949455 · Sports Medicine (Preventive Medicine) Physician · Hancock, MI
Provider details
- NPI number
- 1366949455
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MS, AT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2601000209 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
601 Quincy St.
Athletics / Paavo Nurmi Gym
Hancock, MI 49930-4993
Phone: (906) 487-7532
Fax: (906) 487-7527
Approximate (ZIP-level) locationGet directions
Mailing address
600 Macinnes Dr Ste 201
Houghton, MI 49931-1144
Registry dates
- Enumerated
- 2018-04-06
- Last updated
- 2018-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.