MRS. Mindy Shook Ellis, ATC

NPI #1720412265 in Vidalia, Georgia

Provider Information

NPI Number
1720412265
Entity Type
Individual
Name
MRS. Mindy Shook Ellis, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Aug 31, 2013
Last Updated
Aug 31, 2013

Practice Location

Address
101 HARRIS INDUSTRIAL BLVD
State
Georgia
ZIP Code
30474-8852
Phone
(912) 277-2033

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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