Individual
MRS. KATIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3500
Mailing address
1835 140TH ST, LAWTON, IA 51030-8030
(712) 420-0075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004762
IA
Other
Enumeration date
09/20/2011
Last updated
05/19/2014
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