Individual
KAYLEE A ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2155 S STATE ROAD 46, TERRE HAUTE, IN 47803-9781
(812) 618-0651
(812) 618-0259
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013500A
IN
Other
Enumeration date
05/06/2019
Last updated
08/14/2019
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