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Mary Ellison, OTD
NPI 1427698927 · on the registry since 2020
Practice
- Address
- 3128 Boxelder Dr
Cheyenne, WY 82001 - Phone
- (307) 634-7901
- Organisation at this address
- Empres At Cheyenne, Llc
Granite Snf Operations, Llc
North Big Horn Hospital DistrictInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- WY, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-13
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 Wyoming