NPI 1144346578

Kelly Paris Nellesen

Practitioner Athletic Trainer Eagle, ID

Practice location

Address: 574 Park Ln, Eagle, ID 83616-4512
Phone: (208) 939-2189
Mailing address: 1222 W 1st St, Meridian, ID 83642-2204

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-207 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1144346578
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2007
Record last updated: 8 Jul 2007

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.