Clayton Kyle Ellis, PTA

NPI #1093062317 in Mc Rae, Georgia

Provider Information

NPI Number
1093062317
Entity Type
Individual
Name
Clayton Kyle Ellis, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 6, 2012
Last Updated
Aug 6, 2012

Practice Location

Address
6 E OAK ST
City
Mc Rae
State
Georgia
ZIP Code
31055-4337
Phone
(229) 868-2174

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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