Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENDOLYN A NELSON, PT,NCTMB,CLT
Active Sole ProprietorGWENDOLYN A NELSON, PT,NCTMB,CLT is a Physical Therapy Assistant healthcare provider located in MANISTEE, Michigan. NPI 1639396310 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MANISTEE, MI
Registration Details
- NPI Number
- 1639396310
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2007 (19.27853780289 yrs)
- Last Updated
- Nov 17, 2009
- Licenses
-
5501005500 (MI)285249-00 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
72 FILER STMANISTEE, MI, 496602717Browse MI providers · Browse ZIP 49660
- Phone
- 2313989426
- Fax
- 2317945358
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Massage Therapist
Other Physical Therapy Assistant Providers in MANISTEE, MI
| Name | Credential | NPI |
|---|---|---|
| KEVIN TABACZKA | PT | 1952527889 |
| MR. AARON JOSEPH JACKOWSKI | DPT | 1285151589 |
| SOLOMON BUSTAMANTE DY | PT | 1518467117 |
| LAUREN ELIZABETH WELSH | — | 1871094466 |
| BRYAN KEITH KIDD | PT | 1104328657 |
| ESTHER SIGURDARDOTTIR | PT | 1821590373 |
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.