NPI 1679145866

Shawn Ellis

Practitioner Physical Therapy Assistant Colonial Heights, VA

Practice location

Address: 430 Clairmont CT STE 120, Colonial Heights, VA 23834-1770
Phone: (804) 526-1352

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306605165 (VA)

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Registry record

NPI: 1679145866
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2021
Record last updated: 15 Jul 2021

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.