MEDICARE: MICHAEL EARL NELSON MS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT866	WY

General Provider Information

NPI Number	:	1740258466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL EARL NELSON MS PT

Provider Business Mailing Address
First Line	:	920 UPLAND WAY
Second Line	:
City	:	GREEN RIVER
State	:	WY
Zip	:	82935
Country	:	US
Telephone Number	:	307-875-1847
Fax Number	:	307-875-4269

Provider Business Practice Location Address
First Line	:	920 UPLAND WAY
Second Line	:
City	:	GREEN RIVER
State	:	WY
Zip	:	82935
Country	:	US
Telephone Number	:	307-875-1847
Fax Number	:	307-875-4269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1164156493 — JACOB FLORES DPT
Practice Location Address:

2100 W TETON BLVD
GREEN RIVER, WY
82935-6040

Practice Phone: 307-875-1788
Practice Fax: 307-875-8817

1811994122 — BCBU, INC.
Practice Location Address:

175 RIVER VIEW DR STE A
GREEN RIVER, WY
82935-4811

Practice Phone: 307-875-7976
Practice Fax: 307-875-8990

1629047758 — CHARLES R. VANDERVORT O.D.
Practice Location Address:

665 UINTA DR
GREEN RIVER, WY
82935-5031

Practice Phone: 307-875-4538
Practice Fax: 307-875-8997

1801855283 — MRS. CRYSTAL ANN PROFAIZER MSPT
Practice Location Address:

1715 HITCHING POST DR
GREEN RIVER, WY
82935-5783

Practice Phone: 307-352-6871
Practice Fax: 307-352-6873

1306892047 — KRISTINE F SHERWIN PA-C
Practice Location Address:

1400 UINTA DR
GREEN RIVER, WY
82935-5046

Practice Phone: 307-872-4500
Practice Fax: 307-872-4595

1073569745 — DR. ANN H THEDIECK MD
Practice Location Address:

1400 UINTA DR
GREEN RIVER, WY
82935-5046

Practice Phone: 307-872-4500
Practice Fax: 307-872-4595

Directions to “ MICHAEL EARL NELSON MS PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.