Individual
DR. MEGAN RAE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
7750 HARKNESS AVE S STE 109, COTTAGE GROVE, MN 55016-2163
(952) 835-4512
(888) 425-0398
Mailing address
7825 3RD ST N, STE 105, OAKDALE, MN 55128-5444
(952) 835-4512
(888) 425-0398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10296
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150853
OPTUM PROVIDER ID
MN
Enumeration date
06/28/2016
Last updated
01/14/2022
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