Individual
GREGORY G NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3257 E 3300 S, SALT LAKE CITY, UT 84109-2246
(801) 716-2289
Mailing address
3257 E 3300 S, SALT LAKE CITY, UT 84109-2246
(801) 716-2289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
328625-2401
UT
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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