Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE BROOKE NELSON, P.T.
ActiveTHEODORE BROOKE NELSON, P.T. is a Physical Therapy Assistant healthcare provider located in ROGERSVILLE, Missouri. NPI 1134167331 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ROGERSVILLE, MO
Registration Details
- NPI Number
- 1134167331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2006 (20.018358940505 yrs)
- Last Updated
- Aug 20, 2009
- License
-
107405 (MO)
Practice Information
- Address
-
5764 S FARM ROAD 203ROGERSVILLE, MO, 657426436Browse MO providers · Browse ZIP 65742
- Phone
- 4178440223
- Fax
- 4178645781
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ROGERSVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| ODILIA EGBERS | — | 1598789125 |
| MINDY HAVING | PT | 1508030776 |
| MRS. TAMMY JO KNIGHT | DPT | 1811145899 |
| JACKELYN DAWN SAPKO | — | 1346552171 |
| BRADEN NELSON SCHAIDT | PT, DPT | 1609249051 |
| ALYSON HOOTEN | PT, DPT | 1851875678 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.