Individual
MR. GEOFFREY EDWARD NELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1400 HWY 61 SOUTH, ATTN: ACUTE REHAB, CRYSTAL CITY, MO 63019
(636) 933-1558
Mailing address
10010 CHARDIN WAY APT 3, SAINT LOUIS, MO 63128-2155
(314) 729-0641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2002004665
MO
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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