Individual
CHRISTINA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 E 34TH ST, JOPLIN, MO 64804-4310
(417) 781-1737
Mailing address
12010 OLD 66 BLVD, CARTHAGE, MO 64836-5107
(501) 626-4201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014028906
MO
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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