Theodore Brooke Nelson in Springfield - Physical Therapist

Theodore Brooke Nelson - NPI 1134167331

Theodore Brooke Nelson is a Physical Therapist in Springfield, Missouri. Theodore Brooke Nelson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Theodore Brooke Nelson is 1134167331. The last update date is 2009-08-20.

Theodore Brooke Nelson's current location address is Po Box 11031, Springfield, Missouri. You can contact this provider via phone number 4178440223 and fax number 4178645781. The mailing address for Theodore Brooke Nelson is Po Box 11031, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore Brooke Nelson
Address Po Box 11031, Springfield, Missouri
Phone Number 4178440223
Fax Number 4178645781
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1134167331
Provider Enumeration Date 2006-06-02
Last Updated Date 2009-08-20

Provider Mailing Address Detail

Address Po Box 11031
City Springfield
State Missouri (MO)
Post Code 658081031
Phone Number 4178440223
Fax Number 4178645781

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 107405
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
485344808 MO --
431907333 MO TRICARE
P00196731 MO RAILROAD MEDICARE

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FAQs about Theodore Brooke Nelson

What is the unique identification code assigned to Theodore Brooke Nelson by the Centers for Medicare & Medicaid Services?

The Theodore Brooke Nelson has been issued the NPI (National Provider Identifier) 1134167331. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Theodore Brooke Nelson is physically located?

The Theodore Brooke Nelson is physically situated at the following address: Po Box 11031, Springfield, MO, 658081031.

What is the Theodore Brooke Nelson's specialty and taxonomy code?

The Theodore Brooke Nelson's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134167331 to Theodore Brooke Nelson?

The Centers for Medicare & Medicaid Services originally issued the 1134167331 to Theodore Brooke Nelson on 2006-06-02.

As of what date was the information pertaining to Theodore Brooke Nelson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Theodore Brooke Nelson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-08-20.

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