Individual
CALEY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3200 HOWELL MILL RD NW, ATLANTA, GA 30327-4103
(478) 719-0846
Mailing address
243 SKY HAWK LN, MACON, GA 31216-7398
(478) 719-0846
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004822
GA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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