Individual
JACOB E NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6699 W RIO GRANDE AVE, KENNEWICK, WA 99336-3301
(509) 460-5588
(509) 783-5438
Mailing address
2839 W KENNEWICK AVE # 550, KENNEWICK, WA 99336-2927
(509) 783-8977
(509) 783-6151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
2251X0800X
Orthopedic Physical Therapist
—
WA
261QP2000X
Physical Therapy Clinic/Center
PT60770297
WA
Other
Enumeration date
06/29/2017
Last updated
01/08/2020
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