Stacey A Ellingson, PT

NPI #1104001452 in Bothell, Washington

Provider Information

NPI Number: 1104001452
Entity Type: Individual
Name: Stacey A Ellingson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 7, 2008
Last Updated: Apr 4, 2018

Practice Location

Address: 12900 NE 180TH ST STE 110
City: Bothell
State: Washington
ZIP Code: 98011-5773
Phone: (425) 483-4270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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