Individual
AMBER L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
730 N HAMILTON ST, SPOKANE, WA 99202-2045
(509) 458-7686
(509) 458-6611
Mailing address
730 N HAMILTON ST, SPOKANE, WA 99202-2045
(509) 458-7686
(509) 458-6611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009478
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB3601
RR MEDICARE GROUP
WA
01
—
G8800296
MEDICARE GROUP NUMBER
WA
01
—
P00429143
RR MEDICARE
WA
Enumeration date
12/06/2006
Last updated
01/26/2011
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