Michael James Ellis, DPT
Physical Therapist in Paradise, CA. Individual provider (NPI-1).
NPI number1699282012
StatusActive
Last updated in NPPESJan 8, 2018
Details
- NPI
- 1699282012
- Entity type
- Individual (NPI-1)
- Name
- Michael James Ellis
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2018
- Last updated
- Jan 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT294218 | CA | Yes |
Practice location
6678 Clark RdParadise, CA 95969-2861
Phone 530-876-1006 · Fax 530-876-8225
Mailing address
6678 Clark RdParadise, CA 95969-2861
Phone 530-876-1006
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