Individual
CHRISTY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 GRANDVIEW DR, WAMEGO, KS 66547-1159
(785) 456-9482
Mailing address
2011 GRANDVIEW DR, WAMEGO, KS 66547-1159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02693
KS
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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