Kelley Ebell, PTA

NPI #1154710705 in N Las Vegas, Nevada

Provider Information

NPI Number: 1154710705
Entity Type: Individual
Name: Kelley Ebell, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 21, 2015
Last Updated: Jan 21, 2015

Practice Location

Address: 2641 CATTRACK AVE
City: N Las Vegas
State: Nevada
ZIP Code: 89081
Phone: (402) 658-3148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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