MR. Todd Ellis, PTA

NPI #1366816522 in South Bend, Indiana

Provider Information

NPI Number: 1366816522
Entity Type: Individual
Name: MR. Todd Ellis, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 25, 2015
Last Updated: Nov 25, 2015

Practice Location

Address: 19567 CLEVELAND RD
City: South Bend
State: Indiana
ZIP Code: 46637-3201
Phone: (574) 277-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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