Individual
TARYN MARIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
16761 SOUTHPARK CTR, STRONGSVILLE, OH 44136-9302
(440) 878-3382
Mailing address
16323 CHATMAN DR, STRONGSVILLE, OH 44149-9049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000032016
OH
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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