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Jacob Ryan Ellingson, MSPT,SCS,ATC,CSCS
Sports Physical Therapist in Mora, Minnesota
NPI 1346210432

Jacob Ryan Ellingson is a Sports Physical Therapist based in Mora, MN and is specialized in Sports. Jacob Ryan Ellingson practices in Mora, MN and has the professional credentials of MSPT,SCS,ATC,CSCS. The NPI Number for Jacob Ryan Ellingson is 1346210432 and holds a License No. 6749 (Minnesota).

The current practice location address for Jacob Ryan Ellingson is 301 Highway 65 S, Mora, MN and can be reached out via phone at 320-225-3356 and via fax at 320-225-3370.

Location: 301 Highway 65 S, Mora, MN, 55051-1899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346210432
Provider Name
Jacob Ryan Ellingson
Credential
MSPT,SCS,ATC,CSCS
Provider Entity Type
Individual
Gender
Male
Address
301 Highway 65 S, Mora, MN, 55051-1899
Phone Number
320-225-3356
Fax Number
320-225-3370
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
301 Highway 65 S
City
Mora
State
Minnesota
Zip
55051-1899
Phone Number
320-225-3356
Fax Number
320-225-3370
person
Provider Business Mailing Address Details
Address
301 Highway 65 S
City
Mora
State
Minnesota
Zip
55051-1899
Phone Number
320-225-3356
Fax Number
320-225-3370
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
6749 (Minnesota)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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