Search › Louisiana › 183700000X
Krystal Ellis, CPHT
NPI 1124596630 · on the registry since 2018
Practice
- Address
- 6096 W Park Ave
Houma, LA 70364 - Phone
- (985) 876-2584
- Fax
- (985) 876-5050
- Organisation at this address
- Broadmoor Drug Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-02
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 Louisiana