Ellis, Terry

Ellis, Terry is an individual health care provider with primary practice located at 1402 Main St , Bloomer WI 54724-1637. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ellis, Terry can be contacted via phone (715) 568-4669.

Contact Information

Primary practice address
1402 Main St Bloomer WI 54724-1637
Phone: (715) 568-4669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 562-019 Wisconsin

Profile Details

NPI number 1881813814
LBN Legal business name Ellis, Terry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 18 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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