Individual
AUSTIN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4020 MERLE HAY RD STE 200, DES MOINES, IA 50310-1357
(515) 278-8444
Mailing address
4020 MERLE HAY RD STE 200, DES MOINES, IA 50310-1357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111928
IA
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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