Search › Wisconsin › 225200000X

Jeremy Nelson, PTA

NPI 1598932675 · on the registry since 2008

Practice

Address
715 South Webster Ave
Green Bay, WI 54301
Phone
(920) 431-5588
Fax
(920) 445-7090

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin