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Jennifer L Ellis, PT
Specialist in Indianapolis, Indiana
NPI 1225016934

Jennifer L Ellis is a Specialist based in Beech Grove, IN. Jennifer L Ellis practices in Indianapolis, IN and has the professional credentials of PT. The NPI Number for Jennifer L Ellis is 1225016934 and holds a License No. 05004851A (Indiana).

The current practice location address for Jennifer L Ellis is 7440 N Shadeland Ave, Indianapolis, IN and can be reached out via phone at 317-577-7333 and via fax at 317-577-7330.

Location: 7440 N Shadeland Ave, Indianapolis, IN, 46107-2631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225016934
Provider Name
Jennifer L Ellis
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
7440 N Shadeland Ave, Indianapolis, IN, 46107-2631
Phone Number
317-577-7333
Fax Number
317-577-7330
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05004851A 01 IN PHYSICAL THERAPIST LICENS
institution
Provider Business Practice Location Address Details
Address
7440 N Shadeland Ave
City
Indianapolis
State
Indiana
Zip
46250-2029
Phone Number
317-577-7333
Fax Number
317-577-7330
person
Provider Business Mailing Address Details
Address
7440 N Shadeland Ave
City
Indianapolis
State
Indiana
Zip
46250-2029
Phone Number
317-577-7333
Fax Number
317-577-7330
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
05004851A (Indiana)
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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