Individual
MICHAEL M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6004 WESTGATE BLVD STE 220, TACOMA, WA 98406-2503
(253) 759-4065
Mailing address
8429 S G ST, TACOMA, WA 98444-6316
(253) 226-7762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60278671
WA
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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