Individual
ALYSSA LYNN NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
106 E LUCAS ST, KNOB NOSTER, MO 65336-1134
(660) 563-9800
(660) 563-9801
Mailing address
106 E LUCAS ST, KNOB NOSTER, MO 65336-1134
(660) 563-9800
(660) 563-9801
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2022030328
MO
225100000X
Physical Therapist
11-07055
KS
225100000X
Physical Therapist
2022030328
MO
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500047913
—
MO
Enumeration date
01/08/2019
Last updated
01/18/2024
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