Search › Wisconsin › 225100000X
Jack Nelson, PT
NPI 1659545879 · on the registry since 2008
Practice
- Address
- 19 W Newton St
Rice Lake, WI 54868 - Phone
- (715) 234-2161
- Organisation at this address
- First American Enterprises, Inc
Heritage Rice Lake Operations LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-18
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