Individual
MADISON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 W 17TH ST, SCHUYLER, NE 68661-1304
(402) 352-2441
Mailing address
16081 SPRAGUE ST, OMAHA, NE 68116-2829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4874
NE
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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