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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL LARSON

Active Sole Proprietor

MICHAEL LARSON is a Physical Therapy Assistant healthcare provider located in PORTAGE, Wisconsin. NPI 1760337976 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PORTAGE, WI

Registration Details

NPI Number
1760337976
Provider Type
Individual
Gender
Male
NPI Issued
Mar 3, 2026 (0.45367365283961 yrs)
Last Updated
Mar 3, 2026
License
17625-24 (WI)
Sole Proprietor
Yes

Practice Information

Address
2639 NEW PINERY RD STE 2
PORTAGE, WI, 539011175
Browse WI providers · Browse ZIP 53901
Phone
6087429356
Fax
6087429358
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PORTAGE, WI

Name Credential NPI
MR. MATTHEW J VANDERKOOI PT 1932180775
SUZANNE KATHERINE SMALLEY MPT 1740247592
MRS. SUE LYN CONDON P.T. 1124213871
KRISTINA HELLENBRAND MPT 1134314552
MRS. TRACEY S ALLISON PT 1427243609
MRS. MELISSA ANN ALBRECHT DPT 1780870238
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.