Mason James Ellis, DPT

NPI #1316514094 in Fairfield, Iowa

Provider Information

NPI Number: 1316514094
Entity Type: Individual
Name: Mason James Ellis, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 9, 2021
Last Updated: Jun 9, 2021

Practice Location

Address: 1401 S MAIN ST STE 104
City: Fairfield
State: Iowa
ZIP Code: 52556-3771
Phone: (641) 209-1446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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