| Doctor Name: | THERESA L NELSON |
| NPI Number: | 1225347529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CMT LMT |
| License Number: | MT20902732 |
| Business Practice Address: | 1550 Us Highway 93 N Spa Room Kalispell, MT - 599013155 |
| Business Phone Number: | 4062509263 |
| Business Fax Number: | 4067563277 |
| Mailing Address: | Po Box 2142, COLUMBIA FALLS |
| State: | MT |
| Postal Code: | 599122142 |
| Phone Number: | 4062509263 |
| Fax Number: | 4067563277 |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 10/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MT20902732 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |