MRS. Theresa Lynn Ellison

NPI #1609673524 in Warsaw, Missouri

Provider Information

NPI Number: 1609673524
Entity Type: Individual
Name: MRS. Theresa Lynn Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Feb 27, 2025
Last Updated: Feb 27, 2025

Practice Location

Address: 305 W JEFFERSON ST
City: Warsaw
State: Missouri
ZIP Code: 65355-3471
Phone: (816) 898-1306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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