NPI 1003110818

Nelson Chiropractic & Rehabilitation LLC

Organisation Preferred Provider Organization Clewiston, FL

Practice location

Address: 905 W Ventura Ave, Clewiston, FL 33440-3411
Phone: (863) 983-8391
Fax: (863) 983-2283

Authorised official

Name: Ryan Nelson
Title: President
Phone: (863) 983-8391

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence CH9995 (FL)

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Registry record

NPI: 1003110818
Entity type: Organization
NPI issued: 8 Jan 2011
Record last updated: 25 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.