Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLAYTON KYLE ELLIS, PTA
Active Sole ProprietorCLAYTON KYLE ELLIS, PTA is a Occupational Therapist healthcare provider located in MC RAE, Georgia. NPI 1093062317 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MC RAE, GA
Registration Details
- NPI Number
- 1093062317
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2012 (13.841191001952 yrs)
- Last Updated
- Aug 6, 2012
- License
-
PTA002897 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6 E OAK STMC RAE, GA, 310554337Browse GA providers · Browse ZIP 31055
- Phone
- 2298682174
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MC RAE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHERINE DANELLE SMITH | PTA | 1740422658 |
| BIFF RUTHERFORD | PTA | 1427442524 |
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.