Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HEIDI LYNN ELLWOOD, MPT
Active Sole ProprietorMRS. HEIDI LYNN ELLWOOD, MPT is a Specialist healthcare provider located in DIXON, Missouri. NPI 1386766335 is currently active in the NPPES registry. Verify at CMS.
Specialist · DIXON, MO
Registration Details
- NPI Number
- 1386766335
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2007 (19.36840724151 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2005019387 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20270 HARLEQUIN LNDIXON, MO, 654597524Browse MO providers · Browse ZIP 65459
- Phone
- 5733364965
- Primary Specialty
-
Specialist
174400000X
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.