SearchSouth Dakota225200000X

Carol Ellis, PTA

NPI 1649735515 · on the registry since 2019

Practice

Address
901 N Main Ave
Bridgewater, SD 57319
Phone
(605) 421-8549
Organisation at this address
Tcc Holdings Corporation
Bridgewater Nursing Home Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 700 W Main St, Canistota, SD

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-05

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 South Dakota