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TYLER NELLIS CPED4584
NPI 1457172595
Pedorthist in Brussels, WI

Active since October 22, 2024
9810 COUNTY ROAD D, BRUSSELS, WI 54204(920) 445-5515 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tyler Nellis Cped4584 NPPES

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

TYLER NELLIS CPED4584 (NPI 1457172595) is an individual pedorthist provider in Brussels, Wisconsin, licensed in Wisconsin (CPED4584) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1457172595
Entity TypeIndividualMale
Primary Taxonomy224L00000X
Provider Legal NameTYLER NELLISCredential: CPED4584
Location Address9810 COUNTY ROAD DBrussels, WI 54204-9511
Mailing Address9810 Cty Rd DBrussels, WI 54204 · (920) 445-5515
Phone(920) 445-5515
Sole ProprietorYes
Enumeration DateOctober 22, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1457172595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
License✔ Licensed in WI · CPED4584
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
9810 COUNTY ROAD D, Brussels, WI 54204
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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 Tyler Nellis's NPI number?

The NPI number for Tyler Nellis is 1457172595. It was assigned to this individual provider in the NPPES registry on October 22, 2024.

Where is Tyler Nellis located?

Tyler Nellis practices at 9810 County Road D, Brussels, WI 54204. The listed phone number is (920) 445-5515.

What is Tyler Nellis's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Tyler Nellis was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.