Individual
JENNIFER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 NE TUDOR, LEE'S SUMMIT, MO 64086
(816) 986-1000
Mailing address
301 NE TUDOR, LEE'S SUMMIT, MO 64086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111581
MO
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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