Individual
HALLY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W SOUTH ST, WARRENSBURG, MO 64093-2324
(660) 543-4256
Mailing address
909 APPLEWOOD LN, BELTON, MO 64012-4753
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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