Renae Jean Nelson Valid NPI

Individual provider · Massage Therapist · Big Lake, AK

NPI

1306293428

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

107490 (AK)

Sex

Female

Sole proprietor

Yes

Enumerated

2016-05-18

Last updated

2016-09-02