NPI 1346685575
Kathleen Marie Ellis, LPTA
Practice location
- Address
- 512 Beach St, Fenton, MI 48430-3122
- Phone
- (810) 629-4117
- Mailing address
- 11182 E Richfield Rd, Davison, MI 48423-8517
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1346685575
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 May 2013
- Record last updated
- 1 May 2013
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.