Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEN NELSON
ActiveKEN NELSON is a Recreation Therapist healthcare provider located in BRENTWOOD, New York. NPI 1164887659 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · BRENTWOOD, NY
Registration Details
- NPI Number
- 1164887659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2015 (10.666088770731 yrs)
- Last Updated
- Dec 28, 2015
- License
-
1578627785 (NY)
Practice Information
- Address
-
998 CROOKED HILL RDBRENTWOOD, NY, 117171019Browse NY providers · Browse ZIP 11717
- Phone
- 6317612864
- Primary Specialty
-
Recreation Therapist
225800000X
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.