Jim Thomas Ellerd, PTA
Physical Therapy Assistant in Levelland, TX. Individual provider (NPI-1).
NPI number1861974792
StatusActive
Last updated in NPPESSep 6, 2018
Details
- NPI
- 1861974792
- Entity type
- Individual (NPI-1)
- Name
- Jim Thomas Ellerd
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2018
- Last updated
- Sep 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2031342 | TX | Yes |
Practice location
210 West AveLevelland, TX 79336-3233
Phone 806-894-5053 · Fax 806-894-9603
Mailing address
210 West AveLevelland, TX 79336-3233
Phone 806-894-5053
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