Individual
MR. BRETT ROBERT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1401 S LAVENTURE RD, MOUNT VERNON, WA 98274-6033
(360) 424-2400
(360) 424-2418
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009227
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187754
LABOR AND INDUSTRIES
WA
05
—
8334245
—
WA
Enumeration date
07/19/2005
Last updated
12/30/2013
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