Provider Demographics
NPI:1598967473
Name:NELSON, ASHLEE (PT)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:
Other - Last Name:CHARLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8134 POSTROCK DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80951-4778
Mailing Address - Country:US
Mailing Address - Phone:719-434-2283
Mailing Address - Fax:719-434-2283
Practice Address - Street 1:8134 POSTROCK DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80951-4778
Practice Address - Country:US
Practice Address - Phone:719-434-2283
Practice Address - Fax:719-434-2283
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
802537Medicare ID - Type Unspecified