Doctor Name: | CHANTEL LOUISE NELSON |
NPI Number: | 1497905152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP, ACSM |
License Number: | MA00016401 |
Business Practice Address: | 722 N Montesano Street Westport, WA - 98595 |
Business Phone Number: | 3605009970 |
Business Fax Number: | |
Mailing Address: | Po Box 968, WESTPORT |
State: | WA |
Postal Code: | 985950968 |
Phone Number: | 3605009970 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00016401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |