Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB BRANNON ELLIS
Active Sole ProprietorJACOB BRANNON ELLIS is a Occupational Therapy Assistant healthcare provider located in MADISON, Alabama. NPI 1306358270 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MADISON, AL
Registration Details
- NPI Number
- 1306358270
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2017 (8.7464323130802 yrs)
- Last Updated
- Oct 31, 2017
- License
-
4316 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
97 HUGHES RD STE HMADISON, AL, 357583401Browse AL providers · Browse ZIP 35758
- Phone
- 2568837338
- Fax
- 2568837135
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MADISON, AL
| Name | Credential | NPI |
|---|---|---|
| MR. BLAKE ALEXANDER MCKOY | COTA | 1619187606 |
| MISS DAWN MICHELLE WALLACE | COTA/L | 1861679060 |
| MRS. LISA DAVIS ELMORE | COTA | 1528347689 |
| DEBRA SMITH | — | 1922488840 |
| HANNAH WINNINGHAM MABREY | — | 1508358250 |
| MRS. JALEE ISABELLA MCDONALD | COTA | 1861076069 |
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.