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NPI Code Detail

MEDICARE: ALISON KAY NELSON DPT

MEDICARE: ALISON KAY 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 Therapist11348MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407330533
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON KAY NELSON DPT
Provider Business Mailing Address
First Line : 2125 E HENNEPIN AVE STE 300
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-0001
Country : US
Telephone Number : 612-750-7168
Fax Number : 612-564-7373
Provider Business Practice Location Address
First Line : 2125 E HENNEPIN AVE STE 300
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-0001
Country : US
Telephone Number : 612-750-7168
Fax Number : 612-564-7373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2018
Last Update Date : 08/25/2022

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