Individual
SEAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2904 W HORIZON RIDGE PKWY STE 121, HENDERSON, NV 89052-5016
(702) 897-7331
(702) 897-6801
Mailing address
2904 W HORIZON RIDGE PKWY STE 121, HENDERSON, NV 89052-5016
(702) 897-7331
(702) 897-6801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2517
NV
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001017939
LICENSE #
MO
Enumeration date
08/25/2006
Last updated
10/18/2021
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