Individual
JONATHAN RAY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-4595
Mailing address
193 BLACK STONE CT, SOUTH BELOIT, IL 61080-9238
(276) 239-2368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008600
IL
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us