Individual
MS. KATHY S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
4004 PEACH CT STE H, COLUMBIA, MO 65203-3800
(573) 256-8100
(573) 256-8104
Mailing address
1739 ELM CT, STE 205206, JEFFERSON CITY, MO 65101-4303
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
004272
MO
Other
Enumeration date
10/19/2010
Last updated
03/09/2021
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