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Brandon Ellenwood, ATC
NPI 1578300703 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3504 Harry Langdon Blvd
Council Bluffs, IA 51503 - Phone
- (712) 366-8220
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-15
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 Iowa