NPI 1699404558

Tyler Ellis, ATC

Practitioner Athletic Trainer Cherry Hill, NJ

Practice location

Address: 1750 Kresson Rd, Cherry Hill, NJ 08003-2590
Phone: (856) 424-2222
Fax: (856) 761-0856
Mailing address: 4823 Hamilton Dr, Voorhees, NJ 08043-3140

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1699404558
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2022
Record last updated: 11 Nov 2022

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.