Karen E. Nelson, R.N., L.M.T.

Individual provider Active NPI Massage Therapist · Morrisdale, PA

NPI 1386852044 · NPPES record last updated Apr 15, 2011

Key facts

NPI
1386852044
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MSG000254 (PA)
Practice address
203 Hummingbird Rd
Morrisdale, PA 16858-9331
Phone
(814) 577-8665
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN531716PAMDLactation Consultant (Registered Nurse)
MSG000254PAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN531716 PA
Nurse Massage Therapist (NMT) 163WM1400X RN531716 PA
Specialist 174400000X
Massage Therapist 225700000X MSG000254 PA Yes

Addresses

Primary practice location

203 Hummingbird Rd
Morrisdale, PA 16858-9331

Mailing address

203 Hummingbird Rd
Morrisdale, PA 16858-9331
Phone (814) 577-8665

Other providers in Morrisdale, PA

All providers in Morrisdale, PA · Massage Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.