Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Erik Larson, ATC

Individual provider Athletic Trainer · NPI 1417181082

Paul Erik Larson, ATC is an Athletic Trainer in Carbondale, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2009
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

101 Brooklyn Street/business Route 6
Carbondale, PA 18407
Phone: (570) 282-4500
Fax: (570) 281-7102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT002358A (PA)

Record details

NPI number1417181082
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMay 11, 2009
Last updated in NPPESMay 11, 2009

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