Search › Michigan › 374700000X
Jeannie Ellison, CPHT
NPI 1295303113 · on the registry since 2021 · sole proprietor
Practice
- Address
- 445 W Michigan Ave
Kalamazoo, MI 49007 - Phone
- (269) 488-3957
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 374700000X
374700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-16
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 Michigan