Individual
SHELLIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD ATC
Contact information
Practice address
175 W MARK ST, WINONA, MN 55987-3384
(507) 457-5209
Mailing address
175 W MARK ST, WINONA, MN 55987-3384
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1278
MN
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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