Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY PARIS NELLESEN
Active Sole ProprietorMRS. KELLY PARIS NELLESEN is a Athletic Trainer healthcare provider located in EAGLE, Idaho. NPI 1144346578 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · EAGLE, ID
Registration Details
- NPI Number
- 1144346578
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2007 (19.361157617507 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT-207 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
574 PARK LNEAGLE, ID, 836164512Browse ID providers · Browse ZIP 83616
- Phone
- 2089392189
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. TARA ANNE KISHPAUGH | LAT, AT.,C | 1588704118 |
| HEIDI HOPKINS | ATC | 1861865701 |
| ASHLEY NICOLE MAYHUGH | ATC | 1881058949 |
| ANNA RICHTER | ATHLETIC TRAINER | 1831717040 |
| ELIZABETH ANNE GODINHO | — | 1003481888 |
| DANIELLE WALTHER | — | 1568101186 |
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.