Individual
SHAWNNA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2400 FARMINGTON AVE, FARMINGTON, NM 87401-4509
(505) 326-0064
Mailing address
2400 FARMINGTON AVE, FARMINGTON, NM 87401-4509
(505) 326-0064
(505) 327-3995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA0825
NM
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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