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

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