Individual
TRAVIS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4408 E RIVERSIDE ST, PHOENIX, AZ 85040-2061
(602) 756-2723
Mailing address
4408 E RIVERSIDE ST, PHOENIX, AZ 85040-2061
(602) 756-2723
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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