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

Brandon Larson, PTA

Individual provider Geriatric Physical Therapist · NPI 1639648082

Brandon Larson, PTA is a Geriatric Physical Therapist in Spring Green, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

501 S Winsted St
Spring Green, WI 53588-9435
Phone: (608) 588-0208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 2795-19 (WI)

Record details

NPI number1639648082
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 15, 2018
Last updated in NPPESNovember 15, 2018
Mailing address4603 County Road F, Blue Mounds, WI 53517-9606