Search › Rhode Island › 171100000X
Mandie Ellis, DAOM
NPI 1790433605 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1991 Victory Hwy
Glendale, RI 02826 - Phone
- (401) 710-4207
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-10
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 Rhode Island