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

Brendon Larsen, PTA

Individual provider Physical Therapy Assistant · NPI 1922544600

Brendon Larsen, PTA is a Physical Therapy Assistant in Prosser, Washington. Licensed in Idaho and Washington. Registered with an NPI since 2017.

Licensed in
ID, WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

326 Chardonnay Ave
Prosser, WA 99350-9515
Phone: (509) 786-6626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence P160719840 (WA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 4839 (ID)

Record details

NPI number1922544600
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 18, 2017
Last updated in NPPESJanuary 19, 2017
Mailing address326 Chardonnay Ave, Prosser, WA 99350-9515

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