DR. Mark T Ellison, DC PT

NPI #1215271234 in Carmel, Indiana

Provider Information

NPI Number: 1215271234
Entity Type: Individual
Name: DR. Mark T Ellison, DC PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC PT
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 761 LAKELAND CT
City: Carmel
State: Indiana
ZIP Code: 46032-1205
Phone: (317) 418-0285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Physical Therapist	225100000X

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