| Doctor Name: | MS. COLLEEN NELSON |
| NPI Number: | 1033288360 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, MPT |
| License Number: | 070-010238 |
| Business Practice Address: | 200 South St Paris, MO - 652751165 |
| Business Phone Number: | 1660327412 |
| Business Fax Number: | |
| Mailing Address: | 668 State Route Dd, FAYETTE |
| State: | MO |
| Postal Code: | 652489635 |
| Phone Number: | 1815677298 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 08/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070-010238 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |