Mark D Nelson, PTA

NPI #1457666133 in Ada, Minnesota

Provider Information

NPI Number: 1457666133
Entity Type: Individual
Name: Mark D Nelson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 18, 2010
Last Updated: Aug 18, 2010

Practice Location

Address: 104 S 3RD ST W
City: Ada
State: Minnesota
ZIP Code: 56510-1520
Phone: (701) 893-5668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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