Individual
GRACE BIRD ELLISON
Active
Individual
GRACE BIRD ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
G.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157BI
REGENCE
WA
01
—
0273751
DEPT OF L&I
WA
01
—
1020BI
REGENCE
WA
01
—
1170BI
REGENCE
WA
01
—
2060BI
REGENCE
WA
01
—
239347
L&I
WA
01
—
239386
L&I
WA
01
—
2588BI
REGENCE
WA
01
—
4030BI
REGENCE
WA
01
—
5029BI
REGENCE
WA
01
—
6097BI
REGENCE
WA
01
—
8522666
DSHS
WA
01
—
8948510
L&I CRIME
WA
01
—
8948544
L&I CRIME
WA
01
—
P00664566
RAILROAD MEDICARE
WA
01
—
P00738996
RAILROAD MEDICARE IRG
WA
Enumeration date
07/16/2008
Last updated
09/06/2011
Update your record
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