NPI 1043261464

Thomas L Nelson, RKT

Practitioner Kinesiotherapist Lake Forest, IL

Practice location

Address: 1044 N Western Ave Suite C, Lake Forest, IL 60045-1282
Phone: (847) 234-0404
Mailing address: 33278 N Algonquin Dr, Wildwood, IL 60030-1901

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X Licence 1517 (IL)

Other Kinesiotherapist providers in Illinois →

Registry record

NPI: 1043261464
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2006
Record last updated: 13 Jul 2026

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.