Individual
DR. MARK NELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2305 S 10TH ST, OMAHA, NE 68108-1108
(402) 345-5683
Mailing address
2305 S 10TH ST, OMAHA, NE 68108-1108
(402) 345-5683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4244
NE
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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