Doctor Name: | JODI L NELSON |
NPI Number: | 1043470412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 11013 |
Business Practice Address: | 101 3rd Ave Sw Ste 102 Cedar Rapids, IA - 524045736 |
Business Phone Number: | 3192006102 |
Business Fax Number: | |
Mailing Address: | 101 3rd Ave Sw Ste 102, CEDAR RAPIDS |
State: | IA |
Postal Code: | 524045736 |
Phone Number: | 3192006102 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2008 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |