IndividualActive
Mark Nelson, PTA
NPI 1457666133 · Physical Therapy Assistant · Ada, MN
Provider details
- NPI number
- 1457666133
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
104 S 3rd St W
Ada, MN 56510-1520
Phone: (701) 893-5668
Approximate (ZIP-level) locationGet directions
Mailing address
104 S 3rd St W
Ada, MN 56510-1520
Registry dates
- Enumerated
- 2010-08-18
- Last updated
- 2010-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.