SearchGeorgiaPhysical Therapy Assistant

Clayton Ellis, PTA

NPI 1093062317 · on the registry since 2012 · sole proprietor

Practice

Address
6 E Oak St
Mc Rae, GA 31055
Phone
(229) 868-2174
Clinicians at this address
2

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-06

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 Georgia