Provider Demographics
NPI:1790809770
Name:LARKIN, JOHN CLEMENT (MT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CLEMENT
Last Name:LARKIN
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 TROY ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6411
Mailing Address - Country:US
Mailing Address - Phone:720-331-8446
Mailing Address - Fax:720-216-0871
Practice Address - Street 1:2050 S ONEIDA ST
Practice Address - Street 2:#200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2437
Practice Address - Country:US
Practice Address - Phone:720-331-8446
Practice Address - Fax:720-216-0871
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist