Individual
MICHAEL EARL NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
920 UPLAND WAY, GREEN RIVER, WY 82935
(307) 875-1847
(307) 875-4269
Mailing address
920 UPLAND WAY, GREEN RIVER, WY 82935
(307) 875-1847
(307) 875-4269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT866
WY
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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