Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATHLEEN MARIE ELLIS, LPTA
Active Sole ProprietorMRS. KATHLEEN MARIE ELLIS, LPTA is a Nursing Facility/Intermediate Care Facility healthcare provider located in FENTON, Michigan. NPI 1346685575 is currently active in the NPPES registry. Verify at CMS.
Nursing Facility/Intermediate Care Facility · FENTON, MI
Registration Details
- NPI Number
- 1346685575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2013 (13.248505183144 yrs)
- Last Updated
- May 1, 2013
- License
-
5502001225 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
512 BEACH STFENTON, MI, 484303122Browse MI providers · Browse ZIP 48430
- Phone
- 8106294117
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
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.