NPI 1184995417

Meghan Michelle Ellis, LMPCPMT

Practitioner Contractor Tacoma, WA

Practice location

Address: 3819 6th Ave, Tacoma, WA 98406-4903
Phone: (253) 686-1721
Mailing address: 4611 N Frace Ave, Tacoma, WA 98407-1213

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA00021996 (WA)

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Registry record

NPI: 1184995417
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jan 2012
Record last updated: 18 Jan 2012

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.