Brandon Larson, PTA

NPI 1639648082 · on the registry since 2018 · sole proprietor

Practice

Address: 501 S Winsted St
Spring Green, WI 53588
Phone: (608) 588-0208
Organisation at this address: Aegis Therapies, Inc.
River Valley Nursing Home, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 2251G0304X
2251G0304X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin