Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BETHANY ANN ELLIS, PTA
ActiveMRS. BETHANY ANN ELLIS, PTA is a Specialist healthcare provider located in SHANNON, Mississippi. NPI 1033425806 is currently active in the NPPES registry. Verify at CMS.
Specialist · SHANNON, MS
Registration Details
- NPI Number
- 1033425806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2010 (15.914905334541 yrs)
- Last Updated
- Aug 31, 2010
- License
-
PTA3896 (MS)
Practice Information
- Address
-
5545 HIGHWAY 145SHANNON, MS, 388689351Browse MS providers · Browse ZIP 38868
- Phone
- 6628716638
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.