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MRS. KELLY PARIS NELLESEN
NPI 1144346578
Specialist/Technologist - Athletic Trainer in Eagle, ID

Active since March 21, 2007

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kelly Paris Nellesen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY PARIS NELLESEN (NPI 1144346578) is an individual athletic trainer provider in Eagle, Idaho, licensed in Idaho (AT-207) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1144346578
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. KELLY PARIS NELLESEN
Location Address574 PARK LNEagle, ID 83616-4512
Mailing Address1222 W 1st StMeridian, ID 83642-2204 · (208) 887-1391
Phone(208) 939-2189
Sole ProprietorYes
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144346578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in ID · AT-207
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
574 PARK LN, Eagle, ID 83616
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TARA ANNE KISHPAUGH LAT, AT.,C
Specialist/Technologist (Athletic Trainer)
574 PARK LN
EAGLE, ID 83616
Ada County (208) 939-2189
ASHLEY NICOLE MAYHUGH ATC
Specialist/Technologist (Athletic Trainer)
574 PARK LN
EAGLE, ID 83616
Ada County (208) 350-4235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Nellesen's NPI number?

The NPI number for Kelly Nellesen is 1144346578. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Kelly Nellesen located?

Kelly Nellesen practices at 574 Park Ln, Eagle, ID 83616. The listed phone number is (208) 939-2189.

What is Kelly Nellesen's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kelly Nellesen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.