NPI 1801459946

Brandon Ellis

Practitioner Kinesiotherapist Hattiesburg, MS

Practice location

Address: 453 Eatonville Rd, Hattiesburg, MS 39401-9754
Phone: (601) 434-2229

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1801459946
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2019
Record last updated: 15 Apr 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.