NPI 1184152027

Ann Peyton Ellis, LATATC

Practitioner Athletic Trainer Tahlequah, OK

Practice location

Address: 600 N Grand Ave, Tahlequah, OK 74464-2301
Phone: (918) 456-5511
Mailing address: 132 Glen Ives Way, Madison, AL 35758-4606

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1184152027
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 May 2017
Record last updated: 23 May 2017

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.