Provider Demographics
NPI:1265668172
Name:NELSON, ERRIN M (DPT)
Entity Type:Individual
Prefix:
First Name:ERRIN
Middle Name:M
Last Name:NELSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 S E ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822-1811
Mailing Address - Country:US
Mailing Address - Phone:308-872-5800
Mailing Address - Fax:308-872-5803
Practice Address - Street 1:2021 S E ST STE 1
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822-1811
Practice Address - Country:US
Practice Address - Phone:308-872-5800
Practice Address - Fax:308-872-5803
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2752225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist