Individual
MRS. LARISSA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
315 SOUTH BOULDER RD STE 100, LOUISVILLE, CO 80027-4855
(303) 666-4151
(303) 666-4166
Mailing address
7825 CREST DR, LAKEWOOD, CO 80214-5614
(303) 252-5086
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10439
CO
Other
Enumeration date
07/23/2009
Last updated
04/05/2011
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