Individual
AMANDA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E GARFIELD ST, IOLA, KS 66749-2034
(620) 473-0463
Mailing address
600 E GARFIELD ST, IOLA, KS 66749-2034
(620) 473-0463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2487
KS
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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