Doctor Name: | GEORGE RUSTY NELSON |
NPI Number: | 1447533203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT 002953 |
Business Practice Address: | 200 Maplewood Ave Ronceverte, WV - 249701361 |
Business Phone Number: | 3046471175 |
Business Fax Number: | 3046473006 |
Mailing Address: | 200 Maplewood Ave, RONCEVERTE |
State: | WV |
Postal Code: | 249701361 |
Phone Number: | 3046471175 |
Fax Number: | 3046473006 |
NPI Enumeration Date: | 09/27/2011 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 002953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |