Timothy Ellis, ATC

NPI #1114388303 in Wayne, Nebraska

Provider Information

NPI Number
1114388303
Entity Type
Individual
Name
Timothy Ellis, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Mar 15, 2016
Last Updated
Mar 15, 2016

Practice Location

Address
1200 PROVIDENCE RD
City
Wayne
ZIP Code
68787-1212
Phone
(402) 375-7937

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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