NPI 1003567074

Marcus Ayinde Ellington

Practitioner Athletic Trainer Bloomington, IN

Practice location

Address: 701 E 17th St, Bloomington, IN 47408-1578
Phone: (317) 270-8973
Mailing address: 628 W 17th St, Bloomington, IN 47404-3460

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Indiana →

Registry record

NPI: 1003567074
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2022
Record last updated: 12 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.