| Doctor Name: | DR. BRETT D NEILSON |
| NPI Number: | 1548497654 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, OCS |
| License Number: | PT60095972 |
| Business Practice Address: | 8009 S 180th St Ste 112 Kent, WA - 980321042 |
| Business Phone Number: | 4252267827 |
| Business Fax Number: | |
| Mailing Address: | 26837 Maple Valley Black Diamond Serd 200, MAPLE VALLEY |
| State: | WA |
| Postal Code: | 980389917 |
| Phone Number: | 4254134427 |
| Fax Number: | 4254134402 |
| NPI Enumeration Date: | 06/16/2009 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT60095972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |