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Kelly Ellis, PTA
NPI 1205455789 · on the registry since 2020
Practice
- Address
- 5502 San Juan Dr
Toledo, OH 43612 - Phone
- (419) 410-7741
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-14
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 Ohio