Search › Mississippi › 225100000X
Robert Ellis, DPT
NPI 1881945566 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4016 Cassimer Ave
Diberville, MS 39540 - Phone
- (228) 326-1115
- Organisation at this address
- Dynamic Rehabilitation Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 171000000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-15
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 Mississippi