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Individual

ALYSSA LYNN NELSEN

Active
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Individual

ALYSSA LYNN NELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2022030328
MO
225100000X
Physical Therapist
11-07055
KS
225100000X
Physical Therapist
2022030328
MO
2255A2300X
Athletic Trainer
—
NULL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500047913
—
MO
Enumeration date
01/08/2019
Last updated
01/18/2024
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