Tyler Nellis, CPED4584
Tyler Nellis, CPED4584 is a Pedorthist in Brussels, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
9810 County Road DBrussels, WI 54204-9511
Phone: (920) 445-5515
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pedorthist (primary) | Taxonomy 224L00000X · Licence CPED4584 (WI) |
|---|
Record details
| NPI number | 1457172595 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPED4584 |
| Sole proprietor | Yes |
| NPI enumerated | October 22, 2024 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 17, 2024 |