Individual
KELSEY MICHELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-9464
(307) 358-9330
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
(307) 358-9330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-816
WY
Other
Enumeration date
10/14/2009
Last updated
10/05/2010
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