NPI 1043362247

Joshua Charles Ellis, ATCCSCS

Practitioner Specialist Rapid City, SD

Practice location

Address: 321 Kansas City St, Rapid City, SD 57701-2820
Phone: (605) 394-4860
Mailing address: 509 City Springs Rd APT 12, Rapid City, SD 57702-0155

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0107 (SD)

Other Specialist providers in South Dakota →

Registry record

NPI: 1043362247
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2007
Record last updated: 8 Jul 2007

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.