Individual
RENEE T. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
13038 26TH AVE S, SEATAC, WA 98168-3014
(206) 850-2378
Mailing address
13038 26TH AVE S, SEATAC, WA 98168-3014
(206) 850-2378
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00023401
WA
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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