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Mrs. Bethany Ann Ellis, PTA
Specialist in Shannon, Mississippi
NPI 1033425806

Bethany Ann Ellis is a Specialist based in Shannon, MS. Bethany Ann Ellis practices in Shannon, MS and has the professional credentials of PTA. The NPI Number for Bethany Ann Ellis is 1033425806 and holds a License No. PTA3896 (Mississippi).

The current practice location address for Bethany Ann Ellis is 5545 Highway 145, Shannon, MS and can be reached out via phone at 662-871-6638.

Location: 5545 Highway 145, Shannon, MS, 38868-9351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033425806
Provider Name
Bethany Ann Ellis
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
5545 Highway 145, Shannon, MS, 38868-9351
Phone Number
662-871-6638
Fax Number
Provider Enumeration Date
08/31/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5545 Highway 145
City
Shannon
State
Mississippi
Zip
38868-9351
Phone Number
662-871-6638
Fax Number
person
Provider Business Mailing Address Details
Address
5545 Highway 145
City
Shannon
State
Mississippi
Zip
38868-9351
Phone Number
662-871-6638
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PTA3896 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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