MRS. Denise M Ellis, LAT

NPI #1326027335 in Seymour, Wisconsin

Provider Information

NPI Number
1326027335
Entity Type
Individual
Name
MRS. Denise M Ellis, LAT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Jan 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
415 S PARK LN
ZIP Code
54165-1411
Phone
(920) 833-9120

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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