Doctor Name: | MS. MOLLY K NELSON |
NPI Number: | 1578763272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 5481 |
Business Practice Address: | 336 Sw Cyber Dr Suite 107 Bend, OR - 977021683 |
Business Phone Number: | 5413825500 |
Business Fax Number: | 5413895669 |
Mailing Address: | 336 Sw Cyber Dr, Suite 107 BEND |
State: | OR |
Postal Code: | 977021683 |
Phone Number: | 5413825500 |
Fax Number: | 5413895669 |
NPI Enumeration Date: | 07/20/2007 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |