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Individual

DR. BRETT D NEILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, OCS

Contact information

Practice address
8009 S 180TH ST, STE 112, KENT, WA 98032-1042
(425) 226-7827
Mailing address
26837 MAPLE VALLEY BLACK DIAMOND SERD 200, MAPLE VALLEY, WA 98038-9917
(425) 413-4427
(425) 413-4402

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60095972
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00748164
RAILROAD MEDICARE
WA
Enumeration date
06/16/2009
Last updated
11/04/2015
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