Ellis, Stacy

Ellis, Stacy is an individual health care provider with primary practice located at 455 Brayton Ave , Somerset MA 02726-2642. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Ellis, Stacy can be contacted via phone (508) 679-2240.

Contact Information

Primary practice address
455 Brayton Ave Somerset MA 02726-2642
Phone: (508) 679-2240
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2826 Massachusetts

Profile Details

NPI number 1043687098
LBN Legal business name Ellis, Stacy
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2015
Last updated Aug 25th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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