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Individual

MRS. TONYA ELLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2725 JAMES SANDERS BLVD STE A, PADUCAH, KY 42001-8405
(270) 554-5114
Mailing address
401 INDIANA AVE, MAYFIELD, KY 42066-1799
(270) 247-6537

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001658
2251G0304X
Geriatric Physical Therapist
PT 001658
KY

Other

Enumeration date
07/09/2008
Last updated
08/03/2021
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