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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TED ELLQUIST, PT

Active Organization

TED ELLQUIST, PT is a Physical Therapy Clinic organization located in SANTA ROSA, California. NPI 1053422485 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · SANTA ROSA, CA

Registration Details

NPI Number
1053422485
Provider Type
Organization
NPI Issued
Aug 31, 2006 (19.991495126531 yrs)
Last Updated
Sep 20, 2010
License
36493 (CA)

Practice Information

Address
2466 MURDOCK DR
SANTA ROSA, CA, 954042207
Browse CA providers · Browse ZIP 95404
Phone
5033588278
Primary Specialty
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.