Individual
KELCY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 11TH ST N, COLUMBUS, MT 59019-7215
(406) 322-1000
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-5445
MT
Other
Enumeration date
06/22/2020
Last updated
11/14/2024
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