MICHAEL KENNETH NELSON

WARWICK, RI
NPI1942367131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225000000X Orthotic Fitter
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI  AT00194)
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA  1407)
Enumeration Date2007-01-03
Last Update Date2007-07-08
Business Address
Mr. MICHAEL KENNETH NELSON MSEd, ATC, CSCS
56 BARBER AVE
WARWICK, RI 02886-5202
Phone number: 401-921-2594
Mailing Address
Mr. MICHAEL KENNETH NELSON MSEd, ATC, CSCS
56 BARBER AVE
WARWICK, RI 02886-5202
Phone number: 401-921-2594