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Kellie Nielsen, DPT
Pediatric Physical Therapist in Davis, California
NPI 1548813280

Kellie Nielsen is a Pediatric Physical Therapist based in Winters, CA and is specialized in Pediatrics. Kellie Nielsen practices in Davis, CA and has the professional credentials of DPT. The NPI Number for Kellie Nielsen is 1548813280 and holds a License No. 296763 (California).

The current practice location address for Kellie Nielsen is 803 Russell Blvd, Davis, CA and can be reached out via phone at 530-391-8670.

Location: 803 Russell Blvd, Davis, CA, 95694-9687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548813280
Provider Name
Kellie Nielsen
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
803 Russell Blvd, Davis, CA, 95694-9687
Phone Number
530-391-8670
Fax Number
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
296763 01 CA PHYSICAL THERAPY BOARD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
803 Russell Blvd
City
Davis
State
California
Zip
95616-3426
Phone Number
530-391-8670
Fax Number
person
Provider Business Mailing Address Details
Address
803 Russell Blvd
City
Davis
State
California
Zip
95616-3426
Phone Number
530-391-8670
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Neurology
Taxonomy
2251N0400X
License No.
296763 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
296763 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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