Individual
CELISA MONICA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
907 RIVERGATE PKWY STE E4, GOODLETTSVILLE, TN 37072-2333
(615) 448-6446
Mailing address
907 RIVERGATE PKWY STE E4, GOODLETTSVILLE, TN 37072-2333
(615) 448-6446
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7924
TN
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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