Organization
RESTORE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER NELSON (SOLE MEMBER/MANAGER)
(502) 423-1021
Entity
Organization
Contact information
Practice address
6400 DUTCHMANS PKWY STE 80, LOUISVILLE, KY 40205-3340
(502) 423-1021
(502) 423-1848
Mailing address
462 S 4TH ST STE 2600, LOUISVILLE, KY 40202-3452
(502) 423-1021
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
37667
KY
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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