MR. Brandon Ellis
NPI #1801459946 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1801459946
- Entity Type
- Individual
- Name
- MR. Brandon Ellis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Kinesiotherapist
- Enumeration Date
- Apr 15, 2019
- Last Updated
- Apr 15, 2019
Practice Location
- Address
- 453 EATONVILLE RD
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-9754
- Phone
- (601) 434-2229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Kinesiotherapist |
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