Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STACI DAWN ELLIS, LMT

Active Sole Proprietor

MRS. STACI DAWN ELLIS, LMT is a Specialist healthcare provider located in BOISE, Idaho. NPI 1639519044 is currently active in the NPPES registry. Verify at CMS.

Specialist · BOISE, ID

Registration Details

NPI Number: 1639519044
Provider Type: Individual
Gender: Female
NPI Issued: Jun 29, 2013 (12.983750689983 yrs)
Last Updated: Jun 29, 2013
License: MASG-217 (ID)
Sole Proprietor: Yes

Practice Information

Address: 1529 BELMONT ST

BOISE, ID, 837250001
Browse ID providers · Browse ZIP 83725
Phone: 2084261459
Primary Specialty: Specialist
174400000X

Other Specialist Providers in BOISE, ID

Name	Credential	NPI
DR. RONALD E. LOWRY	M.D., D.D.S., P.A.	1992797641
DR. JENNIFER G. GOTTO	M.D.	1518941459
BREK DAVID STOKER	AUD, CCC-A	1609822402
DR. SCOTT L CHRISTENSEN	MD	1386672228
RICHARD C RIPPLE JR.	M.D.	1497861769
DR. ERIC GREGORY THOMPSON	DPT	1063514867

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.