Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON LARSON, PTA
Active Sole ProprietorBRANDON LARSON, PTA is a Hand Therapy healthcare provider located in SPRING GREEN, Wisconsin. NPI 1639648082 is currently active in the NPPES registry. Verify at CMS.
Hand Therapy · SPRING GREEN, WI
Registration Details
- NPI Number
- 1639648082
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2018 (7.7556654241341 yrs)
- Last Updated
- Nov 15, 2018
- License
-
2795-19 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 S WINSTED STSPRING GREEN, WI, 535889435Browse WI providers · Browse ZIP 53588
- Phone
- 6085880208
- Primary Specialty
-
Hand Therapy
2251G0304X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.