Organization
ELLARD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MICHAEL ELLARD DPT (OWNER, PT)
(601) 600-2515
Entity
Organization
Contact information
Practice address
290 SGT PRENTISS DR STE A, NATCHEZ, MS 39120-4142
(601) 600-2515
(601) 600-2515
Mailing address
290 SGT PRENTISS DR STE A, NATCHEZ, MS 39120-4142
(601) 600-2515
(601) 600-2515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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