NPI 1467019414

Terrence Ellis

Practitioner Clinical Exercise Physiologist Wyoming, MN

Practice location

Address: 5200 Fairview Blvd, Wyoming, MN 55092-8013
Phone: (651) 982-7843
Mailing address: 4770 Centerville Rd APT 320, Saint Paul, MN 55127-2312

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

Other Clinical Exercise Physiologist providers in Minnesota →

Registry record

NPI: 1467019414
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2019
Record last updated: 24 May 2019

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.