Individual
DR. MICHAEL EDWARD ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1020 N MAIN ST, CROSSVILLE, TN 38555-4091
(931) 484-3135
(931) 484-7108
Mailing address
1020 N MAIN ST, CROSSVILLE, TN 38555-4091
(931) 484-3135
(931) 484-7108
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC0436
TN
Other
Enumeration date
07/15/2005
Last updated
04/01/2011
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