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

Individual provider Physical Therapist · NPI 1124103171

Jeremy J Nelson, MSPT, CSCS is a Physical Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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Practice location Address checks out

3080 Wing St
San Diego, CA 92110-4745
Phone: (858) 254-1017
Fax: (858) 279-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT26938 (CA)

Record details

NPI number1124103171
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT , CSCS
Sole proprietorYes
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007

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