Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK D NELSON, PTA
Active Sole ProprietorMARK D NELSON, PTA is a Occupational Therapist healthcare provider located in ADA, Minnesota. NPI 1457666133 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ADA, MN
Registration Details
- NPI Number
- 1457666133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2010 (16.028229407601 yrs)
- Last Updated
- Aug 18, 2010
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 S 3RD ST WADA, MN, 565101520Browse MN providers · Browse ZIP 56510
- Phone
- 7018935668
- Primary Specialty
-
Occupational Therapist
225200000X
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.