Miranda Ellis

NPI #1467080317 in Stephenville, Texas

Provider Information

NPI Number: 1467080317
Entity Type: Individual
Name: Miranda Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 27, 2020
Last Updated: Mar 27, 2020

Practice Location

Address: 1333 W WASHINGTON ST
City: Stephenville
State: Texas
ZIP Code: 76401-4168
Phone: (254) 968-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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