Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY L ELLIS
ActiveSTACEY L ELLIS is a Physical Therapist healthcare provider located in EUREKA, California. NPI 1285821256 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist · EUREKA, CA
Registration Details
- NPI Number
- 1285821256
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2007 (18.870466931982 yrs)
- Last Updated
- Oct 3, 2007
Practice Information
- Address
-
2773 HARRIS ST STE CEUREKA, CA, 955034866Browse CA providers · Browse ZIP 95503
- Phone
- 7074440116
- Primary Specialty
-
Physical Therapist
225000000X
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.