Timothy Ellis, ATC

NPI 1114388303 · on the registry since 2016 · sole proprietor

Practice

Address: 1200 Providence Rd
Wayne, NE 68787
Phone: (402) 375-7937
Fax: (402) 375-7956
Organisation at this address: Providence Medical Center
Providence Medical Center
Providence Medical Center
Midtown Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-03-15

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 Nebraska