MR. MICHAEL KENNETH NELSON MSED ATC CSCS NPI 1942367131

NPI Information

NPI: 1942367131
Provider Name: MR. MICHAEL KENNETH NELSON, MSED, ATC, CSCS
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
56 BARBER AVE
WARWICK, RI
ZIP 02886
Phone: (401) 921-2594
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MR. Michael Kenneth Nelson, MSED, ATC, CSCS is an orthotic fitter in Warwick, RI. The provider is an individual trained in the management of fitting prefabricated orthoses. MR. Michael Kenneth Nelson, MSED, ATC, CSCS NPI is 1942367131. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

56 BARBER AVE
WARWICK, RI
ZIP 02886-202
Phone: (401) 921-2594

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter				Yes
2	2255A2300X	Specialist/Technologist	Athletic Trainer	AT00194	RHODE ISLAND	X
3	2255A2300X	Specialist/Technologist	Athletic Trainer	1407	MASSACHUSETTS	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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