NPI 1124713821
Jonathan N Ellis, OTRL
Practice location
- Address
- 1333 N Main St STE 6, Cedar City, UT 84721-9314
- Phone
- (435) 868-6200
- Fax
- (435) 868-6201
- Mailing address
- PO Box 25537, Salt Lake City, UT 84125-0537
Registered specialties (2)
Occupational Therapist
Primary
Occupational Therapist
Registry record
- NPI
- 1124713821
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Apr 2023
- Record last updated
- 20 Jun 2024
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.