Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Daniel Nelson

Individual provider Physical Therapy Assistant · NPI 1326826033

Ethan Daniel Nelson is a Physical Therapy Assistant in Maplewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023

Practice location Address checks out

1670 Legacy Pkwy E
Maplewood, MN 55109-5469
Phone: (651) 756-1859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A2889 (MN)

Record details

NPI number1326826033
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 15, 2023
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023
Mailing address1613 Taylor Ave W, Saint Paul, MN 55104-1241

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