Jay T Ellis, PT, DPT, CSCS

NPI 1811924012 · on the registry since 2006

Practice

Address: 3100 S Woodruff Ave
Idaho Falls, ID 83404
Phone: (208) 523-8879
Fax: (208) 523-0436
Organisation at this address: Ellis Physical Therapy P A
Ellis Physical Therapy And Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Contractor
171W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-03-04

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