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Theodore Brooke Nelson (P.T.)

Theodore Brooke Nelson (P.T.) is a health care provider specializes in Physical Therapist.

profile-icon Basic Information

Practice Location 5764 S Farm Road 203, Rogersville, MO 65742-6436, US
Practice Location Phone417-844-0223
Practice Location Fax417-864-5781
GenderMale
Specialty InPhysical Therapist
NPI ?1134167331
Entity TypeIndividual
Enumeration Date ? Jun 2, 2006
Last Update Date ? Aug 20, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Theodore Brooke Nelson

SpecialtySpecializationLicenseLicense State
Physical Therapist 107405Missouri

legacy-id-icon Legacy Provider IDs of Theodore Brooke Nelson

Provider IdIssuer StateIssuer TypeIssuer
431907333MissouriOtherTRICARE
485344808MissouriMedicaid
P00196731MissouriOtherRAILROAD MEDICARE