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Staci Ellis, LMT
NPI 1639519044 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1529 Belmont St
Boise, ID 83725 - Phone
- (208) 426-1459
- Organisation at this address
- Boise State Health Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-29
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 Idaho