Individual
CHRISTINE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT., ATC
Contact information
Practice address
7507 E CEDARVILLE RD, ROCK CITY, IL 61070-9718
(815) 238-0509
Mailing address
7507 E CEDARVILLE RD, ROCK CITY, IL 61070-9718
(815) 238-0509
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1360
WI
Other
Enumeration date
03/31/2016
Last updated
07/13/2016
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