# ALYSSA LYNN NELSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588137020
- **Gender:** F
- **Credential:** D.P.T.

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2019
- **Last updated:** 01/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500047913 | — | MO |