SearchMississippi174400000X

Bethany Ellis, PTA

NPI 1033425806 · on the registry since 2010

Practice

Address
5545 Highway 145
Shannon, MS 38868
Phone
(662) 871-6638

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi