Jereme J Nelson, PTA
Physical Therapy Assistant in Chattaroy, WA. Individual provider (NPI-1).
NPI number1689347239
StatusActive
Last updated in NPPESJul 29, 2021
Details
- NPI
- 1689347239
- Entity type
- Individual (NPI-1)
- Name
- Jereme J Nelson
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2021
- Certification date
- Jul 29, 2021
- Last updated
- Jul 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
28403 N Cottonwood RdChattaroy, WA 99003-8693
Phone 915-449-5362
Mailing address
28403 N Cottonwood RdChattaroy, WA 99003-8693
Phone 915-449-5362
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