Individual
MRS. JENNIFER GRACE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1290 NORTH MAIN ST, SUITE 3, WEBSTER, SD 57274-0577
(605) 345-3710
(605) 345-3905
Mailing address
1290 MAIN ST, SUITE 3, WEBSTER, SD 57274-1119
(605) 345-3710
(605) 345-3905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1656
SD
Other
Enumeration date
07/26/2012
Last updated
10/16/2013
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