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LARISSA CRYSTAL BRANDOM
NPI 1912328519
Rehabilitation Practitioner in Las Vegas, NV

Active since December 27, 2013
6889 S. EASTERN AVE, LAS VEGAS, NV 89119(702) 750-4490 Get Directions Write a Review

NPPES record last updated: December 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larissa Crystal Brandom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISSA CRYSTAL BRANDOM (NPI 1912328519) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1912328519
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameLARISSA CRYSTAL BRANDOM
Location Address6889 S. EASTERN AVELas Vegas, NV 89119
Mailing Address1001 Dumont Blvd Apt 166Las Vegas, NV 89169 · (702) 750-4490
Phone(702) 750-4490
Sole ProprietorYes
Enumeration DateDecember 27, 2013
✔ NPI 1912328519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
6889 S. EASTERN AVE, Las Vegas, NV 89119
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD LARKIN
Rehabilitation Practitioner
6889 S. EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 434-1200
MISS GENEVA NICLOE THOMAS
Rehabilitation Practitioner
6889 S. EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 434-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larissa Brandom's NPI number?

The NPI number for Larissa Brandom is 1912328519. It was assigned to this individual provider in the NPPES registry on December 27, 2013.

Where is Larissa Brandom located?

Larissa Brandom practices at 6889 S. Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 750-4490.

What is Larissa Brandom's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Larissa Brandom was last updated on December 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.