Individual
HAILEY MARIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 BLAINE ST, IRON MOUNTAIN, MI 49801-1936
(906) 282-7693
Mailing address
610 BLAINE ST, IRON MOUNTAIN, MI 49801-1936
(906) 282-7693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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