Individual
MR. DALE S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
(509) 659-1252
Mailing address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
(509) 659-1252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025208 PT00002721
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603272500
FED WORKERS
WA
05
—
7105174
—
WA
01
—
92453
L & I
WA
Enumeration date
10/10/2006
Last updated
06/24/2014
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