Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ERIC DANIEL ELLIS, MS, LAT, ATC
Active Sole ProprietorMR. ERIC DANIEL ELLIS, MS, LAT, ATC is a Athletic Trainer healthcare provider located in HAVERTOWN, Pennsylvania. NPI 1154741692 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HAVERTOWN, PA
Registration Details
- NPI Number
- 1154741692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2014 (12.267526502207 yrs)
- Last Updated
- Apr 23, 2014
- License
-
RT004288 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
414 BRYAN STHAVERTOWN, PA, 190834311Browse PA providers · Browse ZIP 19083
- Phone
- 4846806341
- Fax
- 6103591686
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HAVERTOWN, PA
| Name | Credential | NPI |
|---|---|---|
| MS. MARCI J. KLIGER | ATC | 1356562458 |
| CHAD R MCKEE | MS, LAT, ATC | 1700162070 |
| MEGAN ROSE | ATC | 1770974966 |
| NATALIE KRIEG | ATC | 1881064814 |
| BECKY MILLMAN | — | 1164889408 |
| JOHN EUGENE BISTLINE III | LAT, ATC | 1255782587 |
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.