Individual
HEATHER RENEE ELLIS
Active
Individual
HEATHER RENEE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15271
TN
225100000X
Physical Therapist
CP022960T
VA
225100000X
Physical Therapist
CP022961T
NC
225100000X
Physical Therapist
CP024110T
OH
225100000X
Physical Therapist
CP030242T
SC
225100000X
Physical Therapist
Primary
PT013604
GA
225100000X
Physical Therapist
T-W0035-3
KS
Other
Enumeration date
07/25/2018
Last updated
07/29/2025
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