Autumn Ellis, DPT

NPI 1659930147 · on the registry since 2019

Practice

Address: 834 Pinebrook Rd
Venice, FL 34285
Phone: (941) 484-8107
Fax: (941) 484-5186
Organisation at this address: Legacy Healthcare Inc
Agility Physical Therapy & Sports Performance, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-02-16

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 Florida