Individual
MITCH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
217 N MERIDIAN, STE A, PUYALLUP, WA 98371-8647
(253) 770-2245
(253) 770-2249
Mailing address
217 N MERIDIAN, STE A, PUYALLUP, WA 98371-8647
(253) 770-2245
(253) 770-2249
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034430
WA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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