Individual
KENT E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 WEST 69TH STREET, SUITE 105, SIOUX FALLS, SD 57108
(605) 331-0044
(605) 331-0088
Mailing address
4109 SOUTH PORTICE CIRCLE, SIOUX FALLS, SD 57103
(605) 371-3908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0270
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5832100
—
SD
Enumeration date
10/23/2006
Last updated
11/06/2007
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