Individual
MRS. KAREN ELIZABETH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
109 JACKSTAFF DR, HENDERSONVILLE, TN 37075-4104
(615) 822-8206
(615) 824-1463
Mailing address
109 JACKSTAFF DR, HENDERSONVILLE, TN 37075-4104
(615) 822-8206
(615) 824-1463
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA0000002006
TN
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D65
PROVIDER NUMBER TN DMRS
TN
05
—
D65
—
TN
Enumeration date
02/15/2007
Last updated
02/01/2016
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