Individual
DR. ERICA ELLIS-TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
818 ANN AVENUE, KANSAS CITY, KS 66101
(913) 562-9951
Mailing address
612 E LAYTON DR, OLATHE, KS 66061-2819
(913) 787-1785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06417
KS
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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