Individual
MR. MATTHEW ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1250 BERGEN PKWY # E10, EVERGREEN, CO 80439-9584
(303) 674-7889
Mailing address
21880 RINCONADA RD, MORRISON, CO 80465-2626
(720) 320-3015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4916
CO
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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