IndividualActive
Jared Larsen, D.C.
NPI 1487860912 · Nutritionist · Roseville, MN
Provider details
- NPI number
- 1487860912
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 4893 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Chiropractic Providers
Practice location
1700 Highway 36 W
400
Roseville, MN 55113-4034
Phone: (651) 636-0055
Approximate (ZIP-level) locationGet directions
Mailing address
1700 Highway 36 W
Roseville, MN 55113-4034
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.