Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NELSON WILSON IV, CP
Active Sole ProprietorMR. NELSON WILSON IV, CP is a Physical Therapist Assistant healthcare provider located in CLINTON, Mississippi. NPI 1528228863 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · CLINTON, MS
Registration Details
- NPI Number
- 1528228863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2008 (18.197046497393 yrs)
- Last Updated
- Jun 10, 2008
- License
-
C36423 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 E NORTHSIDE DRSUITE DCLINTON, MS, 390563663Browse MS providers · Browse ZIP 39056
- Phone
- 6019242888
- Fax
- 6019242885
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
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.