Organization
NELSON PHYSICAL THERAPY AND REHAB, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE NELSON P.T. (PHYSICAL THERAPIST/AGENT)
(417) 844-0223
Entity
Organization
Contact information
Practice address
5764 S FARM ROAD 203, ROGERSVILLE, MO 65742-6436
(417) 844-0223
(417) 725-4290
Mailing address
5764 S FARM ROAD 203, ROGERSVILLE, MO 65742-6436
(417) 844-0223
(417) 725-4290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485344808
—
MO
01
—
P00196731
RAILROAD MEDICARE
—
Enumeration date
09/03/2009
Last updated
03/04/2013
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