Individual
AUSTIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12706 INDIANA AVE STE 300, LUBBOCK, TX 79423-5526
(806) 993-5041
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1397800
TX
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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