Individual provider · Type 1 NPI
Stephen Michael Nellis, PT
Specialist · Canastota, NY
NPI number
1508948167
Active
Practice location
3400 Seneca Tpke Ste 7
Canastota, NY 13032-4632
Fax (315) 697-8147
Mailing address
207 Pine St
Syracuse, NY 13210-1137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 17733 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Canastota
About NPI 1508948167
Stephen Michael Nellis, PT's National Provider Identifier is 1508948167, issued on Oct 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Canastota, NY. The record was last updated on Oct 29, 2019.