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

LISA ELLIS, MSOT

Active

LISA ELLIS, MSOT is a Occupational Therapist healthcare provider located in GRANDVILLE, Michigan. NPI 1063882454 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GRANDVILLE, MI

Registration Details

NPI Number
1063882454
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2015 (10.843502282201 yrs)
Last Updated
Aug 30, 2018
License
5201009335 (MI)

Practice Information

Address
3400 WILSON AVE SW
GRANDVILLE, MI, 49418
Browse MI providers · Browse ZIP 49418
Phone
6165345487
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in GRANDVILLE, MI

Name Credential NPI
MANOHAR D KOCHE BACHELORS DEGREE OT 1942218235
MR. KENNETH PAUL HAAGSMA OCCUPATIONAL THERAPI 1639363088
ALYSSA CHRISTINE DAVIDSON OTR 1154853984
MRS. GINA KATHLEEN CHESLA OTR 1619460482
ASHLEY MARIE NICHOSON 1023636677
CAROLINE MARKVLUWER 1164147070
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.