Individual
MICHELLE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1885 W 5TH ST, COLBY, KS 67701-1511
(785) 443-3585
Mailing address
1885 W 5TH ST, COLBY, KS 67701-1511
(785) 443-3585
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402771
KS
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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