Individual
CAITLYN ELIZABETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5235 E GREENBRIAR DR, APT 18, TERRE HAUTE, IN 47802-4450
(812) 251-7571
Mailing address
5235 E GREENBRIAR DR, APT 18, TERRE HAUTE, IN 47802-4450
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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