Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN JACK NELSON, PT
ActiveMR. JOHN JACK NELSON, PT is a Physical Therapy Assistant healthcare provider located in FOLSOM, California. NPI 1477549772 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FOLSOM, CA
Registration Details
- NPI Number
- 1477549772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2005 (20.852113852579 yrs)
- Last Updated
- Feb 25, 2016
- License
-
PT23841 (CA)
Practice Information
- Address
-
700 OAK AVENUE PKWYSTE BFOLSOM, CA, 956306871Browse CA providers · Browse ZIP 95630
- Phone
- 9169321210
- Fax
- 9169321205
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FOLSOM, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MITSUMARO MOTOYOSHI | PT | 1275527301 |
| MS. KRISTEN MICHELLE BRANHAM | MPT | 1629051065 |
| MRS. MICHELE ELAINE DOWNS | P.T. | 1003891839 |
| RICHELLE RAMOS | PT | 1659348928 |
| RICHARD M. A. ROSENBERG | MPT, DPT | 1477572592 |
| MR. MATTHEW ALAN SMITH | PT | 1033131560 |
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.