Individual
JESSE ELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5111 N SCOTTSDALE RD UNIT 31, SCOTTSDALE, AZ 85250-7075
(480) 990-1379
Mailing address
7007 E GOLD DUST AVE APT 1080, SCOTTSDALE, AZ 85253-1441
(701) 290-8636
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8515PT
AZ
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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