NPI 1801387428

James Ryan Ellis, PTA

Practitioner Physical Therapy Assistant Wiggins, MS

Practice location

Address: 321 Flora Gene Ave W STE D, Wiggins, MS 39577-5010
Phone: (601) 523-1994
Fax: (601) 523-1995

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA6404 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1801387428
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2018
Record last updated: 21 May 2018

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.