Individual
DR. KATHRYN JANET ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4440 N 36TH ST, PHOENIX, AZ 85018-3588
(602) 956-4040
Mailing address
4602 N 82ND ST, SCOTTSDALE, AZ 85251-1704
(602) 390-1539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31314
AZ
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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