Individual
MICHELLE M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1623 W SPENCER AVE, MARION, IN 46952-3308
(765) 667-0317
Mailing address
1623 W SPENCER AVE, MARION, IN 46952-3308
(765) 667-0317
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004653A
IN
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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