Individual
MR. KRISTOPHER S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2002 WEST SUNSET DR, SUITE 1, RIVERTON, WY 82501
(307) 856-7021
(307) 856-5546
Mailing address
2002 WEST SUNSET DR, SUITE 1, RIVERTON, WY 82501
(307) 856-7021
(307) 856-5546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT975
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313876
BLUE CROSS BLUE SHIELD
WY
Enumeration date
07/28/2006
Last updated
11/09/2007
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