Individual
LINDA SUE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6825 112TH ST E, PUYALLUP, WA 98373-4617
(253) 906-4688
(253) 848-0664
Mailing address
6825 112TH ST E, PUYALLUP, WA 98373-4617
(253) 906-4688
(253) 848-0664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017283
WA
Other
Enumeration date
09/25/2008
Last updated
06/08/2026
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