Kellie Nielsen
Physical Therapist - Neurology Physical Therapist - Pediatrics
803 Russell Blvd
Davis
, California 95616-3426
Kellie Nielsen
Physical Therapist - Neurology Physical Therapist - Pediatrics
803 Russell Blvd
Davis
, California 95616-3426
(206) 518-1012
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About
Features
Specialties
- Physical Therapist - Neurology
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Kellie Nielsen
- 3436 Sackett Ln
- Winters, CA
- Zip : 95694-9687
- Phone : (206) 518-1012
Second Address
- Kellie Nielsen
- 803 Russell Blvd
- Davis, CA
- Zip : 95616-3426
- Phone : (530) 391-8670
Reviews
FAQs
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What type of doctor is Kellie Nielsen
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251N0400X | Physical Therapist - Neurology | 296763 | CA |
| Y | 2251P0200X | Physical Therapist - Pediatrics | 296763 | CA |
National Provider Identifier
| NPI | 1548813280 |
|---|---|
| Provider Name | Kellie Nielsen |
| First Address | Winters, CA 95694-9687 |
| Second Address | Davis, CA 95616-3426 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2019 |
| Last Update Date | 22/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 296763 | PHYSICAL THERAPY BOARD OF CALIFORNIA (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.