Michael John Ellis, CTRS
NPI #1558244491 in Fort Meade, South Dakota
Provider Information
- NPI Number
- 1558244491
- Entity Type
- Individual
- Name
- Michael John Ellis, CTRS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Recreation Therapist
- Credential
- CTRS
- Enumeration Date
- Jul 29, 2025
- Last Updated
- Jul 29, 2025
Practice Location
- Address
- 113 COMANCHE RD
- City
- Fort Meade
- State
- South Dakota
- ZIP Code
- 57741-1002
- Phone
- (605) 347-2511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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