Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON M ELLIS, PTA
ActiveMRS. SHANNON M ELLIS, PTA is a Occupational Therapist healthcare provider located in BRASELTON, Georgia. NPI 1568867430 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BRASELTON, GA
Registration Details
- NPI Number
- 1568867430
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2014 (11.7511858588 yrs)
- Last Updated
- Nov 4, 2014
- License
-
PTA002735 (GA)
Practice Information
- Address
-
5775 OLD WINDER HWYBRASELTON, GA, 305171603Browse GA providers · Browse ZIP 30517
- Phone
- 6788664104
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BRASELTON, GA
| Name | Credential | NPI |
|---|---|---|
| AMY BETH HOUSTON | P.T.A | 1467792986 |
| LUKE ROBERT MAULDIN | PTA | 1760905988 |
| ANGELA M JOSEPH | PTA | 1639696040 |
| ANDREW J CANTRELLE | — | 1699280156 |
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.