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NPI Code Detail

MEDICARE: DR. ALLISON ELLEN KELLY NELSON DPT

MEDICARE:  DR. ALLISON ELLEN KELLY NELSON  DPT
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
1225100000XPhysical Therapist012230OH

General Provider Information

NPI Number : 1164198495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLISON ELLEN KELLY NELSON DPT
Provider Business Mailing Address
First Line : 141 ARDEN RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3719
Country : US
Telephone Number : 614-746-7035
Fax Number :
Provider Business Practice Location Address
First Line : 609 OAKLAND PARK AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-4154
Country : US
Telephone Number : 614-745-0434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2021
Last Update Date : 08/17/2021

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