Individual
MRS. APRIL MICHELLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
484 CHURCH RD E, SOUTHAVEN, MS 38671-9714
(662) 349-2966
(662) 349-2966
Mailing address
484 CHURCH RD E, SOUTHAVEN, MS 38671-9714
(662) 349-2966
(662) 349-2966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5281
MS
225100000X
Physical Therapist
7976
SC
225100000X
Physical Therapist
9621
TN
Other
Enumeration date
05/28/2013
Last updated
10/30/2019
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