NPI 1558244491

Michael John Ellis, CTRS

Practitioner Recreation Therapist Fort Meade, SD

Practice location

Address: 113 Comanche Rd, Fort Meade, SD 57741-1002
Phone: (605) 347-2511

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 27699 (SD)

Other Recreation Therapist providers in South Dakota →

Registry record

NPI: 1558244491
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2025
Record last updated: 29 Jul 2025

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.